Provider Demographics
NPI:1083998546
Name:GLOFAITH HEALTHCARE SERVICE,LLC
Entity Type:Organization
Organization Name:GLOFAITH HEALTHCARE SERVICE,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:RN/ ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NORMA
Authorized Official - Middle Name:FAY
Authorized Official - Last Name:OSUYAH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:281-216-3918
Mailing Address - Street 1:4034 SAND RIPPLE LN
Mailing Address - Street 2:
Mailing Address - City:KATY
Mailing Address - State:TX
Mailing Address - Zip Code:77449
Mailing Address - Country:US
Mailing Address - Phone:281-216-3918
Mailing Address - Fax:281-829-6629
Practice Address - Street 1:4034 SAND RIPPLE LANE
Practice Address - Street 2:
Practice Address - City:KATY
Practice Address - State:TX
Practice Address - Zip Code:77449
Practice Address - Country:US
Practice Address - Phone:281-216-3918
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-10-03
Last Update Date:2011-10-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX629222251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health