Provider Demographics
NPI:1346626546
Name:GLORY FINANCIAL SERVICES INC
Entity Type:Organization
Organization Name:GLORY FINANCIAL SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OLAWUMI
Authorized Official - Middle Name:
Authorized Official - Last Name:OLADEJI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-765-2873
Mailing Address - Street 1:210 SOUTH MAIN STREET
Mailing Address - Street 2:SUITE #5
Mailing Address - City:DUNCANVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75116
Mailing Address - Country:US
Mailing Address - Phone:469-735-3959
Mailing Address - Fax:469-375-3983
Practice Address - Street 1:320 NORTH ST
Practice Address - Street 2:SUITE #302
Practice Address - City:NACOGDOCHES
Practice Address - State:TX
Practice Address - Zip Code:75961-5017
Practice Address - Country:US
Practice Address - Phone:469-735-3959
Practice Address - Fax:469-375-3983
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLORY FINANCIAL SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-08-11
Last Update Date:2015-08-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343800000XTransportation ServicesSecured Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX3355703-01Medicaid