# GLAMOUR HOMECARE

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

## Provider details

- **NPI number:** 1881204352
- **Authorized official:** SHAVONNAH UPCHURCH (OWNER)
- **Authorized official phone:** (571) 662-1064

## Contact information

- **Practice address:** 1320 CENTRAL PARK BLVD STE 200, FREDERICKSBURG, VA 22401-4953
- **Practice address phone:** (576) 662-1064
- **Mailing address:** PO BOX 952, GAINESVILLE, VA 20156-0952

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 163WH0200X | Home Health Registered Nurse | — | NULL | — |
| 163WH0200X | Home Health Registered Nurse | — | — | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 385H00000X | Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 08/08/2020
- **Last updated:** 08/08/2020