Organization
GLORY HOME HEALTH, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NASRO MOHAMED RN (ADMINISTRATOR)
(612) 707-0905
Entity
Organization
Contact information
Practice address
1913 BROADWAY ST NE STE 100, MINNEAPOLIS, MN 55413-2627
(612) 354-7791
(612) 886-2567
Mailing address
1913 BROADWAY ST NE, MINNEAPOLIS, MN 55413-2627
(612) 354-7791
(612) 886-2567
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
381828
MN
Other
Enumeration date
07/17/2017
Last updated
10/11/2018
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