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Organization
GLAD HOME CARE
Active
Organization
GLAD HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IAN THOMAS GLADD (ADMINISTRATOR / LICENSEE)
(858) 518-7292
Entity
Organization
Contact information
Practice address
8652 TOMMY DR, SAN DIEGO, CA 92119-2012
(858) 518-7292
Mailing address
8652 TOMMY DR, SAN DIEGO, CA 92119-2012
(858) 518-7292
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
374603256
CA
Other
Enumeration date
06/28/2012
Last updated
06/28/2012
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