Organization
SHALOM FAMILY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LARISA LARINA (PRESIDENT)
(303) 520-7183
Entity
Organization
Contact information
Practice address
15057 E COLFAX AVE UNIT C, AURORA, CO 80011-5776
(303) 520-7183
Mailing address
15057 E COLFAX AVE UNIT C, AURORA, CO 80011-5776
(303) 520-7183
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9000146394
—
CO
Enumeration date
05/19/2022
Last updated
05/19/2022
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