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Organization
GLORYLAND NURSING REHABILITATION CENTER, LLC
Active
Organization
GLORYLAND NURSING REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH KOBLA TETTEYCAMBRIDGE PRESIDENT (PRESIDENT)
(571) 294-2826
Entity
Organization
Contact information
Practice address
807 K ST NE, WASHINGTON, DC 20002-3636
(571) 294-2826
(866) 703-5268
Mailing address
807 K ST NE, WASHINGTON, DC 20002-3636
(517) 294-2826
(866) 703-5268
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
DC
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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