Organization
GAIA GROVE, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OLGA T GALBAN MHA (OWNER)
(407) 484-3663
Entity
Organization
Contact information
Practice address
5378 TIMBERLAND AVE, SAINT CLOUD, FL 34771-0112
(407) 484-3663
Mailing address
16750 ABBEY HILL CT, CLERMONT, FL 34711-6353
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
Other
Enumeration date
10/24/2025
Last updated
01/20/2026
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