Organization
GMT, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GLENN RALLECA (CEO-PRESIDENT)
(951) 898-1503
Entity
Organization
Contact information
Practice address
3735 HILGARD ST, CORONA, CA 92882-8309
(951) 898-1503
(951) 371-5062
Mailing address
3735 HILGARD ST, CORONA, CA 92882-8309
(951) 898-1503
(951) 371-5062
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
CA
Other
Enumeration date
03/29/2008
Last updated
03/29/2008
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