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NPI Code Detail

MEDICARE: GLORY CARE SERVICES, INC.

MEDICARE: GLORY CARE SERVICES, INC.
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
1251C00000XDevelopmentally Disabled Services Day Training Agency

General Provider Information

NPI Number : 1568033553
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLORY CARE SERVICES, INC.
Provider Business Mailing Address
First Line : 9353 W ROBIN LN
Second Line :
City : PEORIA
State : AZ
Zip : 85383-2989
Country : US
Telephone Number : 623-206-1665
Fax Number : 602-942-4993
Provider Business Practice Location Address
First Line : 1849 W GREENWAY RD STE 105
Second Line :
City : PHOENIX
State : AZ
Zip : 85023-3474
Country : US
Telephone Number : 623-251-8066
Fax Number : 602-942-4993
Authorized Official
Title or Position : DIRECTOR
Name : ANTHONIA N MGBARA
Credential :
Telephone Number : 623-206-1665
Provider Enumeration Date : 07/09/2021
Last Update Date : 07/09/2021

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Directions to “GLORY CARE SERVICES, INC. ” Practice Location

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