NPI 1003661042

Glorious Business Enterprise LLC

Organisation In Home Supportive Care Agency Detroit, MI

Practice location

Address: 18204 Greenlawn St, Detroit, MI 48221-2107
Phone: (313) 802-0766
Fax: (313) 863-2563
Mailing address: 29488 Woodward Ave # 326, Royal Oak, MI 48073-0903

Authorised official

Name: Gloria Conyers
Title: Owner
Phone: (313) 802-0766

Registered specialties (3)

In Home Supportive Care Agency Primary

Agencies Taxonomy 253Z00000X

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Home Health Agency

Agencies Taxonomy 251E00000X

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Point of Service

Managed Care Organizations Taxonomy 305S00000X

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Registry record

NPI: 1003661042
Entity type: Organization
NPI issued: 23 Apr 2024
Record last updated: 23 Apr 2024

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.