NPI 1184841488

Shekinah Glory Ministry of Baton Rouge

Organisation Physical Disabilities Residential Treatment Facility Baton Rouge, LA

Practice location

Address: 3613 Government St, Baton Rouge, LA 70806-5721
Phone: (225) 346-5225
Fax: (225) 346-5225
Mailing address: PO Box 53766, Baton Rouge, LA 70892-3766

Authorised official

Name: Debra Denise Carter
Title: Pastor
Phone: (225) 924-4575

Registered specialties (2)

Physical Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320700000X Licence PCA 12390 (LA)

Other Residential Treatment Facility, Physical Disabilities providers in Louisiana →

Intellectual and/or Developmental Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320600000X Licence SIL 12514 (LA)

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Louisiana →

Registry record

NPI: 1184841488
Entity type: Organization
NPI issued: 19 Apr 2007
Record last updated: 25 Sep 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.