institution
Mirror Of Grace Outreach
Voluntary or Charitable Agency in Baton Rouge, Louisiana
NPI 1639595200

Mirror Of Grace Outreach is a Voluntary or Charitable Agency based in Baton Rouge, LA. Mirror Of Grace Outreach practices in Baton Rouge, LA. The NPI Number for Mirror Of Grace Outreach is 1639595200 and holds a License No. (Louisiana).

The current practice location address for Mirror Of Grace Outreach is 921 Lobdell Blvd, Baton Rouge, LA and can be reached out via phone at 225-300-4528. You can also correspond with Mirror Of Grace Outreach through the mailing address at 921 LOBDELL BLVD, BATON ROUGE, LA - 70806-8811 (mailing address contact number: 225-892-9514).

Location: 921 Lobdell Blvd, Baton Rouge, LA, 70806-8811
institution
Provider Profile Details
NPI Number
1639595200
Provider Name
Mirror Of Grace Outreach
Credential
Provider Entity Type
Organization
Address
921 Lobdell Blvd, Baton Rouge, LA, 70806-8811
Phone Number
225-300-4528
Fax Number
Provider Enumeration Date
03/06/2014
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
MS40353488N 01 LA LOUISIANA SECRETARY OF STATE
institution
Provider Business Practice Location Address Details
Address
921 Lobdell Blvd
City
State
Zip
70806-8811
Phone Number
225-300-4528
Fax Number
person
Provider Business Mailing Address Details
Address
921 Lobdell Blvd
City
State
Zip
70806-8811
Phone Number
225-300-4528
Fax Number
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Voluntary or Charitable
Speciality
-
Taxonomy
License No.
(Louisiana)
Definition
Definition to come...
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