Gleco Llc

NPI 1417186404 - Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities - 320900000X

NPI Details
NPI 1417186404
Enumeration Date 07/10/2009
Last Updated 07/10/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name LEODIGAERLAN G. LEODIGAERLAN
Position ADMINISTRATOR/ BOARD MEMBER
Phone (760) 963-0416
Fax
Practice Location
11665 CIBOLA RD
APPLE VALLEY CA, 92308-5922, US
Phone (760) 963-0416
Fax
Business Location
18101 JUNIPER ST
HESPERIA CA, 92345-6324, US
Phone (760) 371-5153
Fax
Toxanomy
Taxonomy Code 320900000X
License State California
License Number 366413177
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According to our database, Gleco Llc NPI is 1417186404, taxonomy code is 320900000X and license number is 366413177, license state is located at California. Gleco Llc physically located at 11665 Cibola Rd, Apple Valley CA, 92308-5922. NPI Number 1033115704 has the healthcare provider type.

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1417186404 NPI number is provided on an as is basis without warranty of any kind. 1417186404 is maintained by the National Plan & Provider Enumeration System. The contents of Gleco Llc are for informational purposes only.