Provider Demographics
NPI:1346927894
Name:A GLIMMER OF HOPE LLC
Entity Type:Organization
Organization Name:A GLIMMER OF HOPE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JOHNETTA
Authorized Official - Middle Name:M
Authorized Official - Last Name:HARRIS-WATKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-982-0725
Mailing Address - Street 1:187 S IRVINGTON ST
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80018-4629
Mailing Address - Country:US
Mailing Address - Phone:720-982-0725
Mailing Address - Fax:720-328-0092
Practice Address - Street 1:187 S IRVINGTON ST
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80018-4629
Practice Address - Country:US
Practice Address - Phone:172-098-2072
Practice Address - Fax:720-328-0092
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-28
Last Update Date:2023-06-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty