Provider Demographics
NPI:1487137410
Name:GLORIOUS HOME HELP CARE AND MIHP
Entity type:Organization
Organization Name:GLORIOUS HOME HELP CARE AND MIHP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COORDINATOR
Authorized Official - Prefix:
Authorized Official - First Name:SARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:COLLINS-HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:313-525-1489
Mailing Address - Street 1:4640 AUDUBON RD
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48224-2797
Mailing Address - Country:US
Mailing Address - Phone:313-525-1489
Mailing Address - Fax:
Practice Address - Street 1:4640 AUDUBON RD
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48224-2797
Practice Address - Country:US
Practice Address - Phone:313-525-1489
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GLOROIUS HOME HEALTH AND MIHP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-09-14
Last Update Date:2018-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization