Organization · NPI-2

Glory To Glory Assisted Living LLC

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · Spring, TX

NPI number1104669019
StatusActive
Last updated in NPPESJun 18, 2024

Details

NPI
1104669019
Entity type
Organization (NPI-2)
Legal business name
Glory To Glory Assisted Living LLC
Organization subpart
No
Enumeration date
Jun 18, 2024
Certification date
Jun 17, 2024
Last updated
Jun 18, 2024

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities––Yes

Practice location

20823 Shawbrook Dr
Spring, TX 77379-1658

Phone 832-229-0859

Mailing address

Po Box 11517
Spring, TX 77391-1517

Phone 832-229-0859

Authorized official

Cynthia Renee Marshall
Owner
8322290859

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