Organization
GLORIOUS IN HOME AND CDS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ELISHA S PULLEN (MEMBER)
(573) 620-3186
Entity
Organization
Contact information
Practice address
1011B TRUMAN BLVD, CARUTHERSVILLE, MO 63830
(573) 620-3186
(573) 333-9898
Mailing address
PO BOX 1060, CARUTHERSVILLE, MO 63830-1060
(573) 333-1300
(573) 333-9898
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
08/04/2021
Last updated
08/05/2021
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