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Organization

GLORIOUS HOMECARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MELODY MANOMANO (ADMINISTRATOR)
(701) 955-8437
Entity
Organization

Contact information

Practice address
2925 WINNIPEG DR, BISMARCK, ND 58503-0448
(701) 955-8437
Mailing address
2925 WINNIPEG DR, BISMARCK, ND 58503-0448
(701) 955-8437

Taxonomy

Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
251E00000X
Home Health Agency
251X00000X
Supports Brokerage Agency
253Z00000X
In Home Supportive Care Agency
Primary
332U00000X
Home Delivered Meals
343900000X
Non-emergency Medical Transport (VAN)
344600000X
Taxi
347C00000X
Private Vehicle
347E00000X
Transportation Broker
385H00000X
Respite Care

Other

Enumeration date
01/13/2025
Last updated
09/17/2025
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