Provider Demographics
NPI:1366327363
Name:ACHU, GLORY TIFUH
Entity type:Individual
Prefix:
First Name:GLORY
Middle Name:TIFUH
Last Name:ACHU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10800 TIMBERLINE DR
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20772-5507
Mailing Address - Country:US
Mailing Address - Phone:240-887-9318
Mailing Address - Fax:
Practice Address - Street 1:10800 TIMBERLINE DR
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-5507
Practice Address - Country:US
Practice Address - Phone:240-887-9318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-08-08
Last Update Date:2025-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide