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Organization

GLORY PROFESSIONAL HOME SERVICES INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ELIZABETH E OBIEKWE (CEO - RN)
(770) 906-7421
Entity
Organization

Contact information

Practice address
6781 LONDONDERRY WAY STE 5, UNION CITY, GA 30291-2094
(770) 906-7421
(770) 626-3164
Mailing address
6781 LONDONDERRY WAY STE 5, UNION CITY, GA 30291-2094
(770) 906-7421
(770) 626-3164

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
PHCP010418
GA
Enumeration date
08/06/2020
Last updated
08/06/2020
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