Organization
GLOSS ENTERPRISE
Active
Other names
Gloss Enterprise
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. REGINA GORDON (DIRECTOR)
(985) 419-2430
Entity
Organization
Contact information
Practice address
512 J W DAVIS DR, STE. D, HAMMOND, LA 70403-3992
(985) 419-2430
(985) 419-2431
Mailing address
1814 N MORRISON BLVD STE C&D, HAMMOND, LA 70401-1551
(985) 419-2430
(985) 419-2431
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1469599
—
LA
05
—
1621773
—
LA
Enumeration date
04/19/2007
Last updated
11/18/2024
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