Organization
GLORY DEW
Active
Organization subpart
No
Provider details
NPI number
Authorized official
OCHO ROLAND JOCE OHOMON (OWNER)
(475) 287-9731
Entity
Organization
Contact information
Practice address
100 LEETE ST APT 3, WEST HAVEN, CT 06516-5366
(475) 287-9731
Mailing address
100 LEETE ST APT 3, WEST HAVEN, CT 06516-5366
(475) 287-9731
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
—
—
Other
Enumeration date
08/14/2023
Last updated
08/14/2023
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