Provider Demographics
NPI:1073948105
Name:GLORY ABLE HOME HEALTHCARE INC
Entity Type:Organization
Organization Name:GLORY ABLE HOME HEALTHCARE INC
Other - Org Name:SAVIOR HOME HEALTH INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:ABIODUN
Authorized Official - Middle Name:A
Authorized Official - Last Name:ADEYANJU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-759-6740
Mailing Address - Street 1:210 S MAIN STREET
Mailing Address - Street 2:SUITE 23
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116
Mailing Address - Country:US
Mailing Address - Phone:469-759-6740
Mailing Address - Fax:469-759-6741
Practice Address - Street 1:210 S MAIN ST STE 23
Practice Address - Street 2:
Practice Address - City:DUNCANVILLE
Practice Address - State:TX
Practice Address - Zip Code:75116-4702
Practice Address - Country:US
Practice Address - Phone:469-759-6740
Practice Address - Fax:469-759-6741
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-09-09
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health