Glory Personal Care Home, Llc

NPI 1063712487 - Respite Care - 385H00000X

NPI Details
NPI 1063712487
Enumeration Date 11/01/2010
Last Updated 11/01/2010
Entity Type Healthcare Provider
Active Over 6 years ago
Authorized Information
Name SYVIS A SYVIS
Position DIRECTOR
Phone (678) 432-8818
Fax
Practice Location
90 PACES LNDG
COVINGTON GA, 30016-4167, US
Phone (678) 432-8818
Fax
Business Location
90 PACES LNDG
COVINGTON GA, 30016-4167, US
Phone (678) 432-8818
Fax
Toxanomy
Taxonomy Code 385H00000X
License State Georgia
License Number RN 188675
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According to our database, Glory Personal Care Home, Llc NPI is 1063712487, taxonomy code is 385H00000X and license number is RN 188675, license state is located at Georgia. Glory Personal Care Home, Llc physically located at 90 Paces Lndg, Covington GA, 30016-4167. NPI Number 1033115704 has the healthcare provider type.

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1063712487 NPI number is provided on an as is basis without warranty of any kind. 1063712487 is maintained by the National Plan & Provider Enumeration System. The contents of Glory Personal Care Home, Llc are for informational purposes only.