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Shekinah Glory Ministry Of Baton Rouge
Physical Disabilities Residential Treatment Facility in Baton Rouge, Louisiana
NPI 1184841488

Shekinah Glory Ministry Of Baton Rouge is a Physical Disabilities Residential Treatment Facility based in Baton Rouge, LA. Shekinah Glory Ministry Of Baton Rouge practices in Baton Rouge, LA. The NPI Number for Shekinah Glory Ministry Of Baton Rouge is 1184841488 and holds a License No. SIL 12514 (Louisiana).

The current practice location address for Shekinah Glory Ministry Of Baton Rouge is 3613 Government St, Baton Rouge, LA and can be reached out via phone at 225-346-5225 and via fax at 225-346-5225.

Location: 3613 Government St, Baton Rouge, LA, 70892-3766
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1184841488
Provider Name
Shekinah Glory Ministry Of Baton Rouge
Credential
Provider Entity Type
Organization
Address
3613 Government St, Baton Rouge, LA, 70892-3766
Phone Number
225-346-5225
Fax Number
225-346-5225
Provider Enumeration Date
04/19/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1351407 05 LA
institution
Provider Business Practice Location Address Details
Address
3613 Government St
City
Baton Rouge
State
Louisiana
Zip
70806-5721
Phone Number
225-346-5225
Fax Number
225-346-5225
person
Provider Business Mailing Address Details
Address
3613 Government St
City
Baton Rouge
State
Louisiana
Zip
70806-5721
Phone Number
225-346-5225
Fax Number
225-346-5225
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
PCA 12390 (Louisiana)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Physical Disabilities
Speciality
-
Taxonomy
320700000X
License No.
SIL 12514 (Louisiana)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
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