Organization
SHALOM PARK
Active
Other names
BETH ISRAEL AT SHALOM PARK
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARC PENNER (PRESIDENT/CEO)
(303) 680-5000
Entity
Organization
Contact information
Practice address
14800 E BELLEVIEW DR, 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
314000000X
Skilled Nursing Facility
Primary
0906
CO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05651815
—
CO
Enumeration date
06/02/2006
Last updated
04/24/2019
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