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Organization

GLORIOUS HOME STYLE CARE,LLC

Active
Other names
Health Care Service
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. GLORIA LYNN WILLIAMS NURSING AIDE (FOUNDER, PRESIDENT CEO OWNER)
(806) 724-7804
Entity
Organization

Contact information

Practice address
7009 AVENUE S, LUBBOCK, TX 79412-4051
(806) 724-7804
(806) 701-2910
Mailing address
7009 AVENUE S, LUBBOCK, TX 79412-4051
(806) 724-7804
(806) 701-2910

Taxonomy

Speciality
Code
Description
License number
State
163WP2201X
Ambulatory Care Registered Nurse
163WW0000X
Wound Care Registered Nurse
251B00000X
Case Management Agency
251C00000X
Developmentally Disabled Services Day Training Agency
251J00000X
Nursing Care Agency
251V00000X
Voluntary or Charitable Agency
261QP2000X
Physical Therapy Clinic/Center
261QR0400X
Rehabilitation Clinic/Center
261QR0401X
Comprehensive Outpatient Rehabilitation Facility (CORF)
310400000X
Assisted Living Facility
Primary
3104A0625X
Assisted Living Facility (Mental Illness)
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
343800000X
Secured Medical Transport (VAN)
347C00000X
Private Vehicle
376K00000X
Nurse's Aide

Other

Enumeration date
06/19/2019
Last updated
06/19/2019
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