Organization
GLORIOUS HOME HEALTH
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VERONICA INGRAM (OWNER)
(919) 258-5600
Entity
Organization
Contact information
Practice address
124B S MAIN ST, BROADWAY, NC 27505-9701
(919) 258-5600
Mailing address
124B S MAIN ST, POBOX 1306, BROADWAY, NC 27505-9701
(919) 258-5600
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
04/04/2016
Last updated
04/04/2016
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