Organization · Type 2 NPI

Shekinah Glory

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Baton Rouge, LA

NPI number 1063609204 Active

Practice location

3613 Government St
Baton Rouge, LA 70806-5721

Call (225) 346-5225 Map

Fax (225) 346-5224

Mailing address

PO Box 53766
Baton Rouge, LA 70892-3766

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XSIL 12514 (LA)

Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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.

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About NPI 1063609204

Shekinah Glory's National Provider Identifier is 1063609204, issued on Oct 2, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Baton Rouge, LA. The record was last updated on Oct 2, 2007.