Organization
GLORYLAND OF BOYNTON HOME CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MALCOLM ERNEST BOGYAH LPN (OWNER/CEO)
(561) 853-2253
Entity
Organization
Contact information
Practice address
2500 QUANTUM LAKES DR STE 203, BOYNTON BEACH, FL 33426-8323
(561) 853-2253
Mailing address
2500 QUANTUM LAKES DR STE 203, BOYNTON BEACH, FL 33426-8323
(561) 853-2253
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
235133
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
235133
AHCA
FL
Enumeration date
04/10/2018
Last updated
04/10/2018
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