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General NPI Number Information
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NPI Number | 1881510717
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Entity Type | Organization
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Legal Business Name | GLORY HOME CARE, INC.
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Dates
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Enumeration Date | 06/25/2026
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Last Update Date | 06/25/2026
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Provider Practice Location Address
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Address Line | 5811 MCNEES AVE
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City | WHITTIER
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State | CA
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Zip | 90606-1103
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Country | US
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Telephone | 562-456-5015
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Fax | 562-456-5067
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Provider Business Mailing Address
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Address Line | 382 N LEMON AVE # 869
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City | WALNUT
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State | CA
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Zip | 91789-2344
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Country | US
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Telephone |
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Fax |
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Authorized Official
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Title or Position | OWNER
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Name | MS. MICHELLE LEE
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Credential |
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Telephone | 213-246-6246
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 315P00000X
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Taxonomy Name | Intellectual Disabilities Intermediate Care Facility
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License Number |
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License Number State |
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