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NPI Code Detail

MEDICARE: GLAMOROUS HOMECARE

MEDICARE: GLAMOROUS HOMECARE
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
1253Z00000XIn Home Supportive Care Agency
2343900000XNon-emergency Medical Transport (VAN)
3385H00000XRespite Care
4251E00000XHome Health Agency

General Provider Information

NPI Number : 1780443796
Entity Type Code : Organization
Provider Name (Legal Business Name) : GLAMOROUS HOMECARE
Provider Business Mailing Address
First Line : 811 E WASHINGTON AVE STE 400
Second Line :
City : MADISON
State : WI
Zip : 53703-4028
Country : US
Telephone Number : 608-400-6610
Fax Number :
Provider Business Practice Location Address
First Line : 811 E WASHINGTON AVE STE 400
Second Line :
City : MADISON
State : WI
Zip : 53703-4028
Country : US
Telephone Number : 608-400-6610
Fax Number :
Authorized Official
Title or Position : CEO
Name : JERICKA SIMMONS
Credential :
Telephone Number : 608-400-6610
Provider Enumeration Date : 03/14/2024
Last Update Date : 03/14/2024

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Directions to “GLAMOROUS HOMECARE ” Practice Location

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