# SHALOM FAMILY CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346842838
- **Authorized official:** GEORGIANA KOKO (OWNER/PRESIDENT)
- **Authorized official phone:** (443) 802-5991

## Contact information

- **Practice address:** 348 GLENBRIAR CIR, TRACY, CA 95377-7051
- **Practice address phone:** (443) 802-5991
- **Mailing address:** 348 GLENBRIAR CIR, TRACY, CA 95377-7051
- **Mailing address phone:** (443) 802-5991

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 11/10/2020
- **Last updated:** 11/13/2020