Organization
GLORY FIRST FAMILY CARE SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. GLORI J DAVIS (DIRECTOR)
(910) 277-2563
Entity
Organization
Contact information
Practice address
1112 ATKINSON ST, LAURINBURG, NC 28352-4723
(910) 277-2563
(910) 277-2564
Mailing address
1112 ATKINSON ST, P.O. BOX 1134, LAURINBURG, NC 28352-4723
(910) 277-2563
(910) 277-2564
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
—
—
163WC1600X
Continuing Education/Staff Development Registered Nurse
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
374U00000X
Home Health Aide
—
—
376K00000X
Nurse's Aide
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6601462
—
NC
Enumeration date
02/05/2007
Last updated
06/04/2010
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