Organization
GLORIA CARE HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EJIKEMEUWA NKEMAKONAM NNAH (OWNER)
(443) 470-2311
Entity
Organization
Contact information
Practice address
13800 COPPERMINE RD, HERNDON, VA 20171-6163
(443) 470-2311
Mailing address
3220 RIDGEWAY PL, BALTIMORE, MD 21244-1021
(443) 470-2311
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
02/26/2026
Last updated
03/04/2026
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