Healthcare Provider Details

I. General information

NPI: 1891517892
Provider Name (Legal Business Name): SALAM ADULT CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/30/2024
Last Update Date: 11/05/2024
Certification Date: 11/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10652 E ILIFF AVE
AURORA CO
80014
US

IV. Provider business mailing address

9377 E ALABAMA PL
DENVER CO
80247-2343
US

V. Phone/Fax

Practice location:
  • Phone: 720-883-9923
  • Fax:
Mailing address:
  • Phone: 720-883-9923
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: ASIYA GAMEL
Title or Position: MANAGER
Credential:
Phone: 720-883-9923