Organization
GLORIOUS LIFE HEALTHCARE SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BORIS NUVI LANG (CEO)
(301) 825-4876
Entity
Organization
Contact information
Practice address
1629 K ST NW STE 300, WASHINGTON, DC 20006-1631
(301) 852-4876
Mailing address
15035 COURTLAND PL, LAUREL, MD 20707-5611
Taxonomy
Speciality
Code
Description
License number
State
261QD1600X
Developmental Disabilities Clinic/Center
Primary
—
—
373H00000X
Day Training/Habilitation Specialist
—
—
374U00000X
Home Health Aide
—
—
Other
Enumeration date
10/20/2025
Last updated
10/20/2025
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