Glamm Corp

NPI 1073787982 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1073787982
Enumeration Date 04/22/2008
Last Updated 04/22/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name LIZA MARIE GUTIERREZ LIZA MARIE
Position ADMINISTRATOR/PRESIDENT
Phone (408) 263-1343
Fax
Practice Location
380 BIXBY DR
MILPITAS CA, 95035-6007, US
Phone (408) 263-1343
Fax
Business Location
380 BIXBY DR
MILPITAS CA, 95035-6007, US
Phone (408) 263-1343
Fax
Toxanomy
Taxonomy Code 320600000X
License State California
License Number 55120000681
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According to our database, Glamm Corp NPI is 1073787982, taxonomy code is 320600000X and license number is 55120000681, license state is located at California. Glamm Corp physically located at 380 Bixby Dr, Milpitas CA, 95035-6007. NPI Number 1033115704 has the healthcare provider type.

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1073787982 NPI number is provided on an as is basis without warranty of any kind. 1073787982 is maintained by the National Plan & Provider Enumeration System. The contents of Glamm Corp are for informational purposes only.