MEDICARE: GLORY IN WEALTH HOME CARE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1295245744
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GLORY IN WEALTH HOME CARE

Provider Business Mailing Address
First Line	:	8211 E REGAL PL STE 100
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-7167
Country	:	US
Telephone Number	:	918-262-0805
Fax Number	:

Provider Business Practice Location Address
First Line	:	8211 E REGAL PL STE 100
Second Line	:
City	:	TULSA
State	:	OK
Zip	:	74133-7167
Country	:	US
Telephone Number	:	918-262-0805
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	OLANIYI SAMUEL AJILORE
Credential	:
Telephone Number	:	918-262-0805

Provider Enumeration Date	:	10/10/2017
Last Update Date	:	10/10/2017

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Directions to “GLORY IN WEALTH HOME CARE ” Practice Location

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