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Organization
VIJAK INC
Active
Organization
VIJAK INC
Active
Other names
Glendale House
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. VIVIANE ABAKA (ADMINISTRATOR)
(727) 461-0774
Entity
Organization
Contact information
Practice address
1706 N HIGHLAND AVE, CLEARWATER, FL 33755-2101
(727) 246-1077
(727) 442-8110
Mailing address
1706 N HIGHLAND AVE, CLEARWATER, FL 33755-2101
(727) 246-1077
(727) 442-8110
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
142327400
—
FL
Enumeration date
05/16/2007
Last updated
06/18/2008
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