Organization
INCO GLORY HEALTHCARE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IBUKUN NATHANIEL UDJE (OWNER)
(601) 918-2557
Entity
Organization
Contact information
Practice address
1014 LOBLOLLY PINE DR, ARLINGTON, TX 76012-2527
(601) 918-2557
Mailing address
PO BOX 496043, GARLAND, TX 75049-6043
(601) 918-2557
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
—
TX
347C00000X
Private Vehicle
VLL729
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1326368044
NPI
TX
Enumeration date
06/04/2010
Last updated
06/04/2010
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