Provider Demographics
NPI:1013100452
Name:GLENBO, LLC
Entity Type:Organization
Organization Name:GLENBO, LLC
Other - Org Name:RIGHT AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CO-OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DAMON
Authorized Official - Middle Name:M
Authorized Official - Last Name:CECIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-569-7240
Mailing Address - Street 1:3240 E UNION HILLS DR
Mailing Address - Street 2:SUITE 165
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85050-2609
Mailing Address - Country:US
Mailing Address - Phone:602-569-7240
Mailing Address - Fax:
Practice Address - Street 1:3240 E UNION HILLS DR
Practice Address - Street 2:SUITE 165
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85050-2609
Practice Address - Country:US
Practice Address - Phone:602-569-7240
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-20
Last Update Date:2007-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health