Organization
GLORIOUS HOME CARE ASSISTANCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MINILVA AMUNGWA (PRESIDENT/CEO)
(669) 295-8659
Entity
Organization
Contact information
Practice address
111 N MARKET ST STE 300, SAN JOSE, CA 95113-1116
(669) 295-8659
Mailing address
1919 FRUITDALE AVE APT K768, SAN JOSE, CA 95128-4939
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/29/2022
Last updated
07/29/2022
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