Provider Demographics
NPI:1891946893
Name:DEO GLORIA LLC
Entity Type:Organization
Organization Name:DEO GLORIA LLC
Other - Org Name:IN-HOME TUTORS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DENNIS
Authorized Official - Middle Name:G
Authorized Official - Last Name:FREEMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:770-645-8750
Mailing Address - Street 1:4629 CLARY LAKES DR NE
Mailing Address - Street 2:
Mailing Address - City:ROSWELL
Mailing Address - State:GA
Mailing Address - Zip Code:30075-5446
Mailing Address - Country:US
Mailing Address - Phone:770-645-8750
Mailing Address - Fax:
Practice Address - Street 1:4629 CLARY LAKES DR NE
Practice Address - Street 2:
Practice Address - City:ROSWELL
Practice Address - State:GA
Practice Address - Zip Code:30075-5446
Practice Address - Country:US
Practice Address - Phone:770-645-8750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-08
Last Update Date:2008-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services