Provider Demographics
NPI:1518723196
Name:GLOME HUB LLC
Entity Type:Organization
Organization Name:GLOME HUB LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGING ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:KOJO
Authorized Official - Middle Name:M
Authorized Official - Last Name:AMISSAH
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:228-209-3296
Mailing Address - Street 1:9508 VIBURNUM DR
Mailing Address - Street 2:
Mailing Address - City:TOANO
Mailing Address - State:VA
Mailing Address - Zip Code:23168-9084
Mailing Address - Country:US
Mailing Address - Phone:228-209-3296
Mailing Address - Fax:
Practice Address - Street 1:9508 VIBURNUM DR
Practice Address - Street 2:
Practice Address - City:TOANO
Practice Address - State:VA
Practice Address - Zip Code:23168-9084
Practice Address - Country:US
Practice Address - Phone:228-209-3296
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-22
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies