Organization
GLM HOUSE INC
Active
Other names
GLM House
Organization subpart
No
Provider details
NPI number
Authorized official
MS. AMELIA BROADNAX (EXECUTIVE DIRECTOR)
(858) 609-9073
Entity
Organization
Contact information
Practice address
4101 UNIVERSITY AVE, SAN DIEGO, CA 92105-1418
(858) 609-9073
Mailing address
PO BOX 1933, LEMON GROVE, CA 91946-1933
(858) 609-9073
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
—
—
Other
Enumeration date
03/27/2025
Last updated
03/27/2025
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