Organization
GLECO LLC
Active
Other names
D' Adams Family Care
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LEODIGAERLAN G. PANOPIO (ADMINISTRATOR/ BOARD MEMBER)
(760) 963-0416
Entity
Organization
Contact information
Practice address
11665 CIBOLA RD, APPLE VALLEY, CA 92308-5922
(760) 963-0416
Mailing address
18101 JUNIPER ST, HESPERIA, CA 92345-6324
(760) 371-5153
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
366413177
CA
Other
Enumeration date
07/10/2009
Last updated
07/10/2009
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