| Provider / Organization | NPI | Date Certified |
|---|---|---|
| GLORIOUS EAGLES LLC | 1184338774 | 2023-08-12 |
The organization Glorious Eagles Llc is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1184338774. Registration indicates Glorious Eagles Llc is a provider of services with a specialization in Respite Care Facility, Respite Care (Respite Care, ) (Respite Care, Respite Care Facility) (Agencies, Day Training, Developmentally Disabled Services) (Day Training, Developmentally Disabled Services, ) (Day Training, Developmentally Disabled Services, Agencies) (Agencies, Early Intervention Provider Agency) (Early Intervention Provider Agency, ) (Early Intervention Provider Agency, Agencies)
| Address | City / State | Phone / Fax |
|---|---|---|
| 2119 110th Ln NW | Coon Rapids, MN 554334173 | 6124566090 |
| Code | Practice | License No State |
|---|---|---|
| 385H00000X | Respite Care Facility Respite Care Respite Care Respite Care Respite Care Facility | |
| 251C00000X | Agencies Day Training, Developmentally Disabled Services Day Training, Developmentally Disabled Services Day Training, Developmentally Disabled Services Agencies | |
| 252Y00000X PRIMARY | Agencies Early Intervention Provider Agency Early Intervention Provider Agency Early Intervention Provider Agency Agencies |