Individual
GRELAN MUSE
Active
Sole proprietor
Yes
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
—
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
8017464
RESIDENTIAL SERVICES
LA
Enumeration date
04/07/2020
Last updated
04/07/2020
Update your record
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