# GLORIOUS IN HOME AND CDS LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

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

## Provider details

- **NPI number:** 1912671975
- **Authorized official:** MR. ELISHA S PULLEN (MEMBER)
- **Authorized official phone:** (573) 620-3186

## Contact information

- **Practice address:** 1011B TRUMAN BLVD, CARUTHERSVILLE, MO 63830
- **Practice address phone:** (573) 620-3186
- **Practice address fax:** (573) 333-9898
- **Mailing address:** PO BOX 1060, CARUTHERSVILLE, MO 63830-1060
- **Mailing address phone:** (573) 333-1300
- **Mailing address fax:** (573) 333-9898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 08/04/2021
- **Last updated:** 08/05/2021