Provider Demographics
NPI:1730571720
Name:GLOVIS HOME HEALTH SERVICES, INC
Entity type:Organization
Organization Name:GLOVIS HOME HEALTH SERVICES, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:OMOBOLANLE
Authorized Official - Middle Name:GLORIA
Authorized Official - Last Name:NOGHAYIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:972-672-2899
Mailing Address - Street 1:6060 VILLAGE BEND DR
Mailing Address - Street 2:APT 504
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75206-3739
Mailing Address - Country:US
Mailing Address - Phone:972-672-2899
Mailing Address - Fax:972-755-8720
Practice Address - Street 1:6060 VILLAGE BEND DR
Practice Address - Street 2:APT 504
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75206-3700
Practice Address - Country:US
Practice Address - Phone:972-672-2899
Practice Address - Fax:972-755-8720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-27
Last Update Date:2015-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health