Provider Demographics
NPI:1538925821
Name:GLORY CONSULTING INC
Entity type:Organization
Organization Name:GLORY CONSULTING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:GLORY
Authorized Official - Middle Name:SUSSETH VILLAGRAN
Authorized Official - Last Name:LOPEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:470-740-8955
Mailing Address - Street 1:3250 PCHTR IND BLVD STE 203
Mailing Address - Street 2:
Mailing Address - City:DULUTH
Mailing Address - State:GA
Mailing Address - Zip Code:30096-8310
Mailing Address - Country:US
Mailing Address - Phone:470-740-8955
Mailing Address - Fax:
Practice Address - Street 1:3250 PCHTR IND BLVD STE 203
Practice Address - Street 2:
Practice Address - City:DULUTH
Practice Address - State:GA
Practice Address - Zip Code:30096-8310
Practice Address - Country:US
Practice Address - Phone:470-740-8955
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-02-23
Last Update Date:2024-02-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies