Organization
D' VINE HOME
Active
Organization
D' VINE HOME
Active
Parent organization
GLECO LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
GLECO LLC
Authorized official
MRS. CONCEPCION GABRIEL PANOPIO (ADMINISTRATOR)
(760) 371-5153
Entity
Organization
Contact information
Practice address
16123 VINE ST, HESPERIA, CA 92345-3113
(760) 981-4595
(760) 981-4501
Mailing address
18101 JUNIPER ST, HESPERIA, CA 92345-6324
(760) 981-4595
(760) 981-4501
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
366412235
CA
Other
Enumeration date
05/07/2010
Last updated
05/07/2010
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