Organization
GLORAYHH
Active
Other names
GLORAYHH
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JESSICA ISHMON (OWNER)
(314) 325-5462
Entity
Organization
Contact information
Practice address
1729 KEELEN DR, SAINT LOUIS, MO 63136-2440
(314) 325-5462
Mailing address
1729 KEELEN DR, SAINT LOUIS, MO 63136-2440
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
07/24/2017
Last updated
07/24/2017
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