Organization
GLORIOUS ORGANIZATION LLC
Active
Other names
Glorious Transportation, Glorious Homes
Organization subpart
No
Provider details
NPI number
Authorized official
MIRABEL ANGUM FONJI (ADMINISTRATOR)
(240) 501-5142
Entity
Organization
Contact information
Practice address
113 MUENSTER DR, HUTTO, TX 78634-5780
(512) 642-9088
(512) 672-6147
Mailing address
113 MUENSTER DR, HUTTO, TX 78634-5780
(512) 642-9088
(512) 672-6147
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
3104A0630X
Assisted Living Facility (Behavioral Disturbances)
—
—
343800000X
Secured Medical Transport (VAN)
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
Other
Enumeration date
08/22/2022
Last updated
07/16/2024
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