NPI 1104628221
Glm House INC
Practice location
- Address
- 4101 University Ave, San Diego, CA 92105-1418
- Phone
- (858) 609-9073
- Mailing address
- PO Box 1933, Lemon Grove, CA 91946-1933
Authorised official
- Name
- Amelia Broadnax
- Title
- Executive Director
- Phone
- (858) 609-9073
Registered specialties
Lodging Provider
Primary
Registry record
- NPI
- 1104628221
- Entity type
- Organization
- NPI issued
- 27 Mar 2025
- Record last updated
- 27 Mar 2025
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.