Glorious Eagles Llc

LBN: Glorious Eagles Llc
Glorious Eagles Llc is an health care organization with primary practice located at 2119 110Th Ln Nw , Coon Rapids MN 55433-4173. The organization recently has 3 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Early Intervention Provider Agency, Respite Care Facility / Respite Care. Agencies / Early Intervention Provider Agency is the primary health care specialty. Glorious Eagles Llc can be contacted via phone (612) 456-6090, or through Alayande, Samson via phone (612) 456-6090.

Contact Information

Primary practice address
2119 110Th Ln Nw Coon Rapids MN 55433-4173
Phone: (612) 456-6090
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Alayande, Samson
Phone: (612) 456-6090

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Early Intervention Provider Agency 252Y00000X
Respite Care Facility / Respite Care 385H00000X

Profile Details

NPI number 1184338774
LBN Legal business name Glorious Eagles Llc
DBA Doing business as
Authorized official Alayande, Samson
Entity Organization
Organization subpart 1 No
Enumeration date Jan 9th, 2023
Last updated Aug 12th, 2023 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

Request for update

Popular Providers