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Organization
GLORIAS HOME
Active
Organization
GLORIAS HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORIA JEAN PEGUES (OWNER)
(901) 831-2423
Entity
Organization
Contact information
Practice address
3035 DIRECTORS ROW # 311, MEMPHIS, TN 38131-0420
(901) 831-2423
(901) 800-1752
Mailing address
7117 MILLERS GLEN WAY, MEMPHIS, TN 38125-4179
(901) 831-2423
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
P316596
MS
253Z00000X
In Home Supportive Care Agency
Primary
—
—
311Z00000X
Custodial Care Facility
—
TN
347C00000X
Private Vehicle
—
—
Other
Enumeration date
03/07/2017
Last updated
09/10/2020
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