Organization
SHALOM FAMILY INC.
Active
Other names
Shalom Medical Supply
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LARISA LARINA (CO-OWNER - PRESIDENT)
(303) 340-3898
Entity
Organization
Contact information
Practice address
15057 EAST COLFAX AVE., UNIT C, AURORA, CO 80011-5776
(303) 340-3898
(303) 364-1361
Mailing address
15057 EAST COLFAX AVE., UNIT C, AURORA, CO 80011-5776
(303) 340-3898
(303) 364-1361
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
41-63222-0000
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
99539039
—
CO
Enumeration date
03/26/2007
Last updated
08/22/2013
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