Provider Demographics
NPI:1255529178
Name:GLORIAD AND ASSOCIATES COMPANY, LLC.
Entity type:Organization
Organization Name:GLORIAD AND ASSOCIATES COMPANY, LLC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SR. SALES CONSULTANT
Authorized Official - Prefix:MR
Authorized Official - First Name:RICHARD
Authorized Official - Middle Name:
Authorized Official - Last Name:BROSSA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-413-3320
Mailing Address - Street 1:14004 PLEASANT VIEW DR
Mailing Address - Street 2:
Mailing Address - City:BOWIE
Mailing Address - State:MD
Mailing Address - Zip Code:20720-4801
Mailing Address - Country:US
Mailing Address - Phone:240-245-4716
Mailing Address - Fax:240-245-4708
Practice Address - Street 1:14004 PLEASANT VIEW DR
Practice Address - Street 2:
Practice Address - City:BOWIE
Practice Address - State:MD
Practice Address - Zip Code:20720-4801
Practice Address - Country:US
Practice Address - Phone:301-793-4474
Practice Address - Fax:240-245-4708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-04
Last Update Date:2008-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDR2557251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care