Organization
GLAMOUR HOMECARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAVONNAH UPCHURCH (OWNER)
(571) 662-1064
Entity
Organization
Contact information
Practice address
1320 CENTRAL PARK BLVD STE 200, FREDERICKSBURG, VA 22401-4953
(576) 662-1064
Mailing address
PO BOX 952, GAINESVILLE, VA 20156-0952
Taxonomy
Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/08/2020
Last updated
08/08/2020
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