Provider Demographics
NPI:1982157285
Name:SHALOM TRANSPORTATION LLC
Entity Type:Organization
Organization Name:SHALOM TRANSPORTATION LLC
Other - Org Name:SHALOM TRANSPORTATION LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:MEGERSSA
Authorized Official - Middle Name:BEFKADU
Authorized Official - Last Name:ADEBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-400-2828
Mailing Address - Street 1:808 S GENEVA ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80247-1932
Mailing Address - Country:US
Mailing Address - Phone:720-400-2828
Mailing Address - Fax:
Practice Address - Street 1:808 S GENEVA ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80247-1932
Practice Address - Country:US
Practice Address - Phone:720-400-2828
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-08-03
Last Update Date:2016-08-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes347E00000XTransportation ServicesTransportation Broker