# GLOSS ENTERPRISE

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

## Provider details

- **NPI number:** 1760651715
- **Authorized official:** MRS. REGINA GORDON (DIRECTOR)
- **Authorized official phone:** (985) 419-2430

## Contact information

- **Practice address:** 512 J W DAVIS DR, STE. D, HAMMOND, LA 70403-3992
- **Practice address phone:** (985) 419-2430
- **Practice address fax:** (985) 419-2431
- **Mailing address:** 1814 N MORRISON BLVD STE C&D, HAMMOND, LA 70401-1551
- **Mailing address phone:** (985) 419-2430
- **Mailing address fax:** (985) 419-2431

## Taxonomy

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

## Other

- **Enumeration date:** 02/25/2008
- **Last updated:** 11/18/2024
