Organization
GLORYLAND NURSING REHABILITATION CENTER, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH KOBLA TETTEYCAMBRIDGE PRESIDENT (PRESIDENT)
(571) 294-2826
Entity
Organization
Contact information
Practice address
807 K ST NE, WASHINGTON, DC 20002-3636
(571) 294-2826
(866) 703-5268
Mailing address
807 K ST NE, WASHINGTON, DC 20002-3636
(517) 294-2826
(866) 703-5268
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
DC
Other
Enumeration date
09/24/2009
Last updated
09/24/2009
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