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GLORIOUS GLOBAL OUTREACH

Nursing & Custodial Care Facilities Assisted Living Facility Assisted Living, Mental Illness

Provider NPI: 1144523903

Organization Information:
Organization Name:  GLORIOUS GLOBAL OUTREACH
Organization is not Subpart
Authorized Official:  BEVERLY JEAN ROZIER  OWNER  313-740-1653

Practice Location:
38025 HERMAN ST  ROMULUS, MI 48174-1365 US
Tel: 313-740-1653  Fax: --

Business Mailing Address:
38025 HERMAN ST  ROMULUS, MI 48174-1365 US
Tel: 313-740-1653  Fax: --

NPI Information:
NPI: 1144523903
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N3104A0625XNursing & Custodial Care Facilities
Assisted Living Facility
Assisted Living, Mental Illness
MIAS8200305818
N310500000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mental Illness
MIAS8200305818
N311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
MIAS8200305818
N315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
MIAS8200305818
Y310400000XNursing & Custodial Care Facilities
Assisted Living Facility
MI

Other Provider Identifiers:

IssuerNumberStateType
310400000XMI05
315900000XMI05
101YP1600XMI05
310500000XMI05



American Medical Association 2012 taxonomy code information

Code: 310400000X

Type:

Classification:



Definition:



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