Healthcare Provider Details

I. General information

NPI: 1093644056
Provider Name (Legal Business Name): GLORIOUS RELIEF CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/15/2026
Last Update Date: 05/15/2026
Certification Date: 05/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9560 N BALTIMORE AVE
KANSAS CITY MO
64155-2758
US

IV. Provider business mailing address

9560 N BALTIMORE AVE
KANSAS CITY MO
64155-2758
US

V. Phone/Fax

Practice location:
  • Phone: 816-553-4585
  • Fax:
Mailing address:
  • Phone: 816-553-4585
  • Fax: 816-553-4585

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State

VIII. Authorized Official

Name: DEBORAH ODIOR MERCY DEBORAH ODIOR
Title or Position: OPERATOR
Credential:
Phone: 816-553-4585