Organization
SHALOM FAMILY CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GEORGIANA KOKO (OWNER/PRESIDENT)
(443) 802-5991
Entity
Organization
Contact information
Practice address
348 GLENBRIAR CIR, TRACY, CA 95377-7051
(443) 802-5991
Mailing address
348 GLENBRIAR CIR, TRACY, CA 95377-7051
(443) 802-5991
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
11/10/2020
Last updated
11/13/2020
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