Provider Demographics
NPI:1518849546
Name:GLORY2GLORIE BIRTHS LLC
Entity type:Organization
Organization Name:GLORY2GLORIE BIRTHS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:JENELLE
Authorized Official - Middle Name:ALEXANDRIA
Authorized Official - Last Name:DUPREE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:909-529-2844
Mailing Address - Street 1:24781 FREEDOM CT
Mailing Address - Street 2:
Mailing Address - City:MORENO VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:92557-5108
Mailing Address - Country:US
Mailing Address - Phone:951-492-6210
Mailing Address - Fax:
Practice Address - Street 1:24781 FREEDOM CT
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92557-5108
Practice Address - Country:US
Practice Address - Phone:951-492-6210
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-07-22
Last Update Date:2025-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374J00000XNursing Service Related ProvidersDoulaGroup - Single Specialty