Provider Demographics
NPI:1457511339
Name:GLOW HEALTHCARE SOLUTIONS INCORPORATED
Entity Type:Organization
Organization Name:GLOW HEALTHCARE SOLUTIONS INCORPORATED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:IFEANYI
Authorized Official - Middle Name:GODWIN
Authorized Official - Last Name:EKECHUKWU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-358-0540
Mailing Address - Street 1:1400 PEREGRINE ST
Mailing Address - Street 2:
Mailing Address - City:LEWISVILLE
Mailing Address - State:TX
Mailing Address - Zip Code:75077-1754
Mailing Address - Country:US
Mailing Address - Phone:469-358-0540
Mailing Address - Fax:469-322-4211
Practice Address - Street 1:1400 PEREGRINE ST
Practice Address - Street 2:
Practice Address - City:LEWISVILLE
Practice Address - State:TX
Practice Address - Zip Code:75077-1754
Practice Address - Country:US
Practice Address - Phone:469-358-0540
Practice Address - Fax:469-322-4211
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-06-13
Last Update Date:2019-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251F00000XAgenciesHome Infusion
No251J00000XAgenciesNursing Care
No385H00000XRespite Care FacilityRespite Care