Organization
GLORIA'S GROUP HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA E POLANCO (ADMINISTRATOR)
(786) 205-6955
Entity
Organization
Contact information
Practice address
14255 SW 287TH ST, HOMESTEAD, FL 33033-1733
(305) 246-4466
(305) 247-7686
Mailing address
14255 SW 287TH ST, HOMESTEAD, FL 33033-1733
(305) 246-4466
(305) 247-7686
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/03/2022
Last updated
02/03/2022
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