# GLORIOUS HOME CARE & NURSING SERVICES, LLC

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

## Provider details

- **NPI number:** 1740712801
- **Authorized official:** MR. KOFI A IDAN MFIN,MBA (CEO & EXECUTIVE CHAIRMAN)
- **Authorized official phone:** (484) 557-0913

## Contact information

- **Practice address:** 110 HURON AVE, EGG HARBOR TOWNSHIP, NJ 08234-7320
- **Practice address phone:** (609) 904-6911
- **Mailing address:** 110 HURON AVE, EGG HARBOR TOWNSHIP, NJ 08234-7320
- **Mailing address phone:** (609) 904-6911

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | HPO239900 | NJ | Yes |
| 251G00000X | Community Based Hospice Care Agency | HPO239900 | NJ | — |
| 251J00000X | Nursing Care Agency | HPO239900 | NJ | — |
| 253Z00000X | In Home Supportive Care Agency | HPO239900 | NJ | — |

## Other

- **Enumeration date:** 03/29/2017
- **Last updated:** 03/29/2017