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General NPI Number Information
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NPI Number | 1013835875
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Entity Type | Organization
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Legal Business Name | GLORIOUS LIVING HOME INC
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Dates
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Enumeration Date | 07/08/2026
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Last Update Date | 07/08/2026
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Provider Practice Location Address
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Address Line | 5204 REDWATER DR
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City | ARLINGTON
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State | TX
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Zip | 76018-2001
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Country | US
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Telephone | 817-716-7273
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Fax |
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Provider Business Mailing Address
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Address Line | 5204 REDWATER DR
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City | ARLINGTON
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State | TX
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Zip | 76018-2001
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Country | US
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Telephone | 817-716-7273
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Fax |
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Authorized Official
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Title or Position | CONSULTANT
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Name | ELLEN CLINTON
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Credential |
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Telephone | 817-903-7600
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 310400000X
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Taxonomy Name | Assisted Living Facility
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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