Glory Personal Care Home, LLC

NPI #1063712487 in Covington, Georgia

Provider Information

NPI Number: 1063712487
Entity Type: Organization
Organization Name: Glory Personal Care Home, LLC
Primary Specialty: Adult Companion
Enumeration Date: Nov 1, 2010
Last Updated: Nov 1, 2010

Practice Location

Address: 90 PACES LNDG
City: Covington
State: Georgia
ZIP Code: 30016-4167
Phone: (678) 432-8818

Authorized Official

Name: MRS. SYVIS A RODGERS
Title: DIRECTOR
Phone: (678) 342-8818

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Respite Care	385H00000X
Adult Companion	372600000X	Primary

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