Organization
GLORY CARE RESIDENTIAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL MOORMAN (LICENSEE)
(562) 313-1832
Entity
Organization
Contact information
Practice address
11625 POPE AVE, LYNWOOD, CA 90262-3929
(562) 313-1832
Mailing address
9517 MEADOW FALLS DR, BAKERSFIELD, CA 93311-4525
(562) 313-1832
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
05/16/2025
Last updated
07/09/2025
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