NPI 1639595200
Mirror of Grace Outreach
Practice location
- Address
- 921 Lobdell Blvd Suite E, Baton Rouge, LA 70806-8811
- Phone
- (225) 300-4528
Authorised official
- Name
- Patricia Ann Harrel
- Title
- Executive Director
- Phone
- (225) 300-4528
Registered specialties
Voluntary or Charitable Agency
Primary
Registry record
- NPI
- 1639595200
- Entity type
- Organization
- NPI issued
- 6 Mar 2014
- Record last updated
- 21 Jul 2022
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.