Organization
SHIELD DENVER HEALTH CARE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE SUOR (VP AND GENERAL MANAGER)
(661) 294-4200
Entity
Organization
Contact information
Practice address
847 N CHURCH CT, UNIT A, ELMHURST, IL 60126-1036
(630) 530-3657
(630) 617-5218
Mailing address
27911 FRANKLIN PKWY, VALENCIA, CA 91355-4110
(661) 294-4200
(661) 294-1042
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
06 02581
IL
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
Primary
06 02581
IL
Other
Enumeration date
08/18/2006
Last updated
01/14/2025
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