Organization
GLORIOUS HOME CARE & NURSING SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KOFI A IDAN MFIN,MBA (CEO & EXECUTIVE CHAIRMAN)
(484) 557-0913
Entity
Organization
Contact information
Practice address
110 HURON AVE, EGG HARBOR TOWNSHIP, NJ 08234-7320
(609) 904-6911
Mailing address
110 HURON AVE, EGG HARBOR TOWNSHIP, NJ 08234-7320
(609) 904-6911
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HPO239900
NJ
251G00000X
Community Based Hospice Care Agency
HPO239900
NJ
251J00000X
Nursing Care Agency
HPO239900
NJ
253Z00000X
In Home Supportive Care Agency
HPO239900
NJ
Other
Enumeration date
03/29/2017
Last updated
03/29/2017
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