Healthcare Provider Details

I. General information

NPI: 1053648295
Provider Name (Legal Business Name): GLORYLAND HEALTH SERVICES INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/09/2009
Last Update Date: 10/04/2022
Certification Date: 10/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9806 DARBY MILL LN
HOUSTON TX
77095-5050
US

IV. Provider business mailing address

9806 DARBY MILL LN
HOUSTON TX
77095-5050
US

V. Phone/Fax

Practice location:
  • Phone: 713-231-4877
  • Fax: 281-859-4402
Mailing address:
  • Phone: 713-231-4877
  • Fax: 281-859-4402

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. EDITH OCHEZE UGBOAJA
Title or Position: ADMINISTRATOR
Credential:
Phone: 713-231-4877