# GLORYVINE CARE LLC

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

## Provider details

- **NPI number:** 1457245631
- **Authorized official:** ONYEJI STELLA UDENWEZE (DIRECTOR)
- **Authorized official phone:** (832) 614-6937

## Contact information

- **Practice address:** 3803 SYNOTT RD APT 806, HOUSTON, TX 77082-5222
- **Practice address phone:** (832) 614-6937
- **Mailing address:** 3803 SYNOTT RD APT 806, HOUSTON, TX 77082-5222
- **Mailing address phone:** (832) 614-6937

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 06/04/2025
- **Last updated:** 07/30/2025
