Organization
GLORIA HOME CARE AGENCY AND SUPPORT STAFFING INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLORIA JEAN ANDERSON (CEO)
(229) 249-7717
Entity
Organization
Contact information
Practice address
428 CONNELL RD, VALDOSTA, GA 31602-1481
(229) 249-7717
(229) 231-3030
Mailing address
428 CONNELL RD, VALDOSTA, GA 31602-1481
(229) 249-7717
(229) 231-3030
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
092-R-0566
GA
253Z00000X
In Home Supportive Care Agency
092-R-0566
GA
Other
Enumeration date
11/14/2010
Last updated
04/22/2022
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