# GLORY HOMECARE SERVICES LLC

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

## Provider details

- **NPI number:** 1922884451
- **Authorized official:** MICHELLE LEE (OWNER)
- **Authorized official phone:** (703) 867-2564

## Contact information

- **Practice address:** 4208 EVERGREEN LN STE 225, ANNANDALE, VA 22003-3251
- **Practice address phone:** (703) 867-2564
- **Mailing address:** 4208 EVERGREEN LN STE 225, ANNANDALE, VA 22003-3251
- **Mailing address phone:** (703) 867-2564

## Taxonomy

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

## Other

- **Enumeration date:** 08/31/2023
- **Last updated:** 08/31/2023