Organization
GLORIOUS CARE PROJECT LLC
Active
Organization
GLORIOUS CARE PROJECT LLC
Active
Parent organization
GLORIOUS CARE PROJECT LLC
Other names
Glorious Care 2
Organization subpart
Yes
Provider details
NPI number
Legal business name
GLORIOUS CARE PROJECT LLC
Authorized official
FRANKLIN FONUTCHI (ADMINISTRATOR)
(480) 212-2636
Entity
Organization
Contact information
Practice address
1087 W AVALON CANYON DR, CASA GRANDE, AZ 85122-6706
(480) 212-2636
Mailing address
1087 W AVALON CANYON DR, CASA GRANDE, AZ 85122-6706
(480) 212-2636
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5874
BCBS
—
Enumeration date
01/02/2023
Last updated
09/11/2025
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