Whalio Doctors

NPI 1811073752

Glory Divine Home Care INC

Organisation Developmentally Disabled Services Day Training Agency Napoleonville, LA

Practice location

Address
4589 Hwy 1, Napoleonville, LA 70390
Phone
(985) 369-4111
Fax
(985) 369-4110
Mailing address
PO Box 867, Napoleonville, LA 70390-0867

Authorised official

Name
Deddra Williams Holmes
Title
Adminstrator/Ceo
Phone
(985) 369-4111

Registered specialties

Developmentally Disabled Services Day Training Agency Primary
Agencies Taxonomy 251C00000X Licence 14205 (LA)

Registry record

NPI
1811073752
Entity type
Organization
NPI issued
31 Oct 2006
Record last updated
22 Aug 2020

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.