# GLORY HEALTH, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215439674
- **Authorized official:** HELEN BLICHARZ (OWNER)
- **Authorized official phone:** (248) 805-2000

## Contact information

- **Practice address:** 23077 GREENFIELD RD STE 222, SOUTHFIELD, MI 48075-3745
- **Practice address phone:** (248) 805-2000
- **Practice address fax:** (888) 283-9115
- **Mailing address:** 39694 ROCKCREST LN, NORTHVILLE, MI 48168-3965
- **Mailing address phone:** (248) 805-2000
- **Mailing address fax:** (888) 283-9115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 2084N0400X | Neurology Physician | — | NULL | — |
| 2084N0400X | Neurology Physician | — | — | — |
| 2084N0402X | Neurology with Special Qualifications in Child Neurology Physician | — | NULL | — |
| 2084N0402X | Neurology with Special Qualifications in Child Neurology Physician | — | — | — |
| 208D00000X | General Practice Physician | — | NULL | Yes |
| 208D00000X | General Practice Physician | — | — | Yes |
| 213E00000X | Podiatrist | — | NULL | — |
| 213E00000X | Podiatrist | — | — | — |

## Other

- **Enumeration date:** 03/01/2018
- **Last updated:** 03/06/2018