Organization
GLORIA ASSISTED LIVING FACILITY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA SAJILUS (OWNER)
(561) 693-7259
Entity
Organization
Contact information
Practice address
5034 KATHY LN, WEST PALM BEACH, FL 33415-2740
(561) 693-7259
Mailing address
5034 KATHY LN, WEST PALM BEACH, FL 33415-2740
(561) 693-7259
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
105667300
—
FL
Enumeration date
02/05/2020
Last updated
04/01/2020
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