Organization
GOD'S GLORY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ADEJOKE OLAYEMI JOHNSON BSC HONS (CEO/PRESIDENT)
(267) 339-2684
Entity
Organization
Contact information
Practice address
5934 TORRESDALE AVE, PHILADELPHIA, PA 19135-4151
(267) 339-2684
Mailing address
5934 TORRESDALE AVE, PHILADELPHIA, PA 19135-4151
(267) 339-2684
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
22563601
PA
Other
Enumeration date
04/26/2012
Last updated
09/24/2013
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