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Individual
MILES GLASS
Active
Individual
MILES GLASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
05/01/2025
Last updated
01/28/2026
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