Provider Demographics
NPI:1811321136
Name:GLORIOUS HEALING HOME HEALTH CARE INC
Entity type:Organization
Organization Name:GLORIOUS HEALING HOME HEALTH CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CFO
Authorized Official - Prefix:
Authorized Official - First Name:GLEN
Authorized Official - Middle Name:A
Authorized Official - Last Name:HULITT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-975-9425
Mailing Address - Street 1:2625 MATLOCK RD
Mailing Address - Street 2:STE 103
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76015-2519
Mailing Address - Country:US
Mailing Address - Phone:817-975-9425
Mailing Address - Fax:817-537-2830
Practice Address - Street 1:2625 MATLOCK RD
Practice Address - Street 2:STE 103
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76015-2519
Practice Address - Country:US
Practice Address - Phone:817-975-9425
Practice Address - Fax:817-537-2830
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-22
Last Update Date:2013-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health