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SHEKINAH GLORY NPI 1326235565


NPI Information

NPI: 1326235565
Provider Name: SHEKINAH GLORY
Classification: Residential Treatment Facility, Physical Disabilities - 320700000X
Entity Type: Organization
Address:
3613 GOVERNMENT ST
BATON ROUGE, LA
ZIP 70806
Phone: (225) 346-5225
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SHEKINAH GLORY is a residential treatment facility physical disabilities in Baton Rouge, LA. The provider is 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. SHEKINAH GLORY NPI is 1326235565. The provider is registered as an organization entity type.

The provider's business location address is:

3613 GOVERNMENT ST
BATON ROUGE, LA
ZIP 70806-721
Phone: (225) 346-5225
Fax: (225) 346-5226

The provider's authorized official is Debra Denise Carter .
The authorized official title is Pastor and has the following contact phone number (225) 346-5225.

The enumeration date for this NPI number is 10/2/2007 and was last updated on 10/2/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320700000XResidential Treatment Facility, Physical DisabilitiesPCA 12390LOUISIANAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11506851MEDICAIDLOUISIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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