Organization
SHALOM PARK PROFESSIONAL SERVICES LLC
Active
Organization
SHALOM PARK PROFESSIONAL SERVICES LLC
Active
Parent organization
BETH ISRAEL FOUNDATION FOR THE AGED
Organization subpart
Yes
Provider details
NPI number
Legal business name
BETH ISRAEL FOUNDATION FOR THE AGED
Authorized official
DAN STENERSEN (CEO)
(303) 680-5000
Entity
Organization
Contact information
Practice address
14800 E BELLEVIEW DRIVE, AURORA, CO 80015-2258
(303) 680-5000
(303) 699-4300
Mailing address
14800 E BELLEVIEW DRIVE, AURORA, CO 80015-2258
(303) 680-5000
(303) 699-4300
Taxonomy
Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
1565633
CO
Other
Enumeration date
04/22/2008
Last updated
03/18/2009
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