| NPI | 1801419767 |
|---|---|
| Doing Business As | GLORIOUS RESIDENTIAL HOME CARE |
| Entity Type | Organization |
| Authorized Contact | CHARLESETTA ELLIS Owner 480-593-9652 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251S00000X |
| Enumeration Date | 2020-05-26 |
| Last Update Date | 2020-05-26 |