Organization
GLORIS HEALTH SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EDMOND SEWOUL (CEO)
(703) 814-2938
Entity
Organization
Contact information
Practice address
13800 COPPERMINE RD STE 104, HERNDON, VA 20171-6164
(703) 814-2938
Mailing address
13800 COPPERMINE RD, HERNDON, VA 20171-6163
(703) 814-2938
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
—
—
251J00000X
Nursing Care Agency
Primary
—
—
3747A0650X
Attendant Care Provider
—
—
3747P1801X
Personal Care Attendant
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/14/2024
Last updated
08/14/2024
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