Provider Demographics
NPI:1699025569
Name:IMAGES OF GLORY, INC
Entity Type:Organization
Organization Name:IMAGES OF GLORY, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:NORFLEET
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:321-274-7737
Mailing Address - Street 1:1001 MCDANIEL CREEK CT
Mailing Address - Street 2:
Mailing Address - City:OVIEDO
Mailing Address - State:FL
Mailing Address - Zip Code:32765-5715
Mailing Address - Country:US
Mailing Address - Phone:407-988-3048
Mailing Address - Fax:407-573-5858
Practice Address - Street 1:7480 ALOMA AVE
Practice Address - Street 2:
Practice Address - City:WINTER PARK
Practice Address - State:FL
Practice Address - Zip Code:32792-9102
Practice Address - Country:US
Practice Address - Phone:407-988-3048
Practice Address - Fax:407-573-5858
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-09-18
Last Update Date:2022-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL010767200Medicaid