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Organization

GLORIOUS LIVING & CARE INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DICKSON IRIOGBE (MANAGER)
(615) 516-5669
Entity
Organization

Contact information

Practice address
4170 GLAD MORNING DR, SOUTH FULTON, GA 30349-3901
(615) 516-5669
Mailing address
4170 GLAD MORNING DR, SOUTH FULTON, GA 30349-3901
(615) 516-5669

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
251E00000X
HOME HEALTHCARE AGENCY
Enumeration date
01/27/2023
Last updated
01/27/2023
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