Organization
GLORIOUS RESIDENTIAL HOME CARE LLC
Active
Other names
GLORIOUS RESIDENTIAL HOME CARE
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLESETTA ELLIS (OWNER)
(480) 593-9652
Entity
Organization
Contact information
Practice address
6724 S 36TH LN, PHOENIX, AZ 85041-5009
(480) 593-9652
Mailing address
6724 S 36TH LN, PHOENIX, AZ 85041-5009
(480) 593-9652
Taxonomy
Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary
—
—
Other
Enumeration date
05/26/2020
Last updated
05/26/2020
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