Organization
GLADE GARDEN INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ENA REDZIC (VICE PRESIDENT)
(727) 507-1934
Entity
Organization
Contact information
Practice address
5860 91ST AVE N, PINELLAS PARK, FL 33782-4910
(727) 258-4537
(727) 544-2716
Mailing address
5860 91ST AVE N, PINELLAS PARK, FL 33782-4910
(727) 258-4537
(727) 544-2716
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
AL12375
FL
Other
Enumeration date
10/16/2013
Last updated
10/16/2013
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