Provider Demographics
NPI:1467110056
Name:GLORIOUS DESIGN MINISTRIES INC
Entity Type:Organization
Organization Name:GLORIOUS DESIGN MINISTRIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MISS
Authorized Official - First Name:MAXINE
Authorized Official - Middle Name:A
Authorized Official - Last Name:CHATTMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:720-688-6858
Mailing Address - Street 1:2623 S XANADU WAY UNIT E
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80014-2206
Mailing Address - Country:US
Mailing Address - Phone:720-688-6858
Mailing Address - Fax:303-368-8459
Practice Address - Street 1:14261 E 4TH AVE STE 150
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80011-8473
Practice Address - Country:US
Practice Address - Phone:303-369-2428
Practice Address - Fax:303-368-8459
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-12-01
Last Update Date:2021-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services