Shekinah Glory in Baton Rouge - Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Shekinah Glory - NPI 1063609204

Shekinah Glory is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Baton Rouge, Louisiana. Shekinah Glory practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Shekinah Glory is 1063609204. The last update date is 2007-10-02.

Shekinah Glory's current location address is Po Box 53766, Baton Rouge, Louisiana. You can contact this provider via phone number 2253465225 and fax number 2253465226. The mailing address for Shekinah Glory is Po Box 53766, Baton Rouge, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Shekinah Glory
Address Po Box 53766, Baton Rouge, Louisiana
Phone Number 2253465225
Fax Number 2253465226
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PASTOR
Authorized Official Name Carter Denise Debra
Credentials COUNSELOR
Telephone Number 2253465225

NPI Number Detail

NPI Number 1063609204
Provider Enumeration Date 2007-10-02
Last Updated Date 2007-10-02

Provider Mailing Address Detail

Address Po Box 53766
City Baton Rouge
State Louisiana (LA)
Post Code 708923766
Phone Number 2253465225
Fax Number 2253465226

Provider's Primary Taxonomy Detail

Speciality Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320600000X
Licence No SIL 12514
Definition:
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1720828 LA --

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FAQs about Shekinah Glory

What is the unique 10-digit identification code assigned to Shekinah Glory by the Centers for Medicare & Medicaid Services?

The Shekinah Glory has been issued the NPI (National Provider Identifier) 1063609204, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Shekinah Glory's facilities are geographically located?

The facilities of Shekinah Glory are physically situated at the following location: Po Box 53766, Baton Rouge, LA, 708923766.

What is the Shekinah Glory's specialty and taxonomy code?

The Shekinah Glory's specialty is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code is 320600000X.

When was the Shekinah Glory's 1063609204 issued?

The Shekinah Glory's 1063609204 was issued on 2007-10-02.

As of what date was the information regarding Shekinah Glory, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Shekinah Glory, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-10-02.

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