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Organization

GLORIOUS GLOBAL OUTREACH

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MISS BEVERLY JEAN ROZIER (OWNER)
(313) 740-1653
Entity
Organization

Contact information

Practice address
38025 HERMAN ST, ROMULUS, MI 48174-1365
(313) 740-1653
Mailing address
38025 HERMAN ST, ROMULUS, MI 48174-1365
(313) 740-1653

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
MI
3104A0625X
Assisted Living Facility (Mental Illness)
AS8200305818
MI
310500000X
Mental Illness Intermediate Care Facility
AS8200305818
MI
311ZA0620X
Adult Care Home Facility
AS8200305818
MI
315P00000X
Intellectual Disabilities Intermediate Care Facility
AS8200305818
MI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
101YP1600X
MI
05
310400000X
MI
05
310500000X
MI
05
315900000X
MI
Enumeration date
12/15/2010
Last updated
12/23/2010
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