Organization · Type 2 NPI
Mirror of Grace Outreach
Voluntary or Charitable Agency · Baton Rouge, LA
NPI number
1639595200
Active
Practice location
921 Lobdell Blvd, Suite E
Baton Rouge, LA 70806-8811
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Voluntary or Charitable Agency Primary | 251V00000X | None listed |
Voluntary or Charitable Agency: Definition to come...
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About NPI 1639595200
Mirror of Grace Outreach's National Provider Identifier is 1639595200, issued on Mar 6, 2014. The primary taxonomy on file is Voluntary or Charitable Agency (251V00000X), and the practice location is in Baton Rouge, LA. The record was last updated on Jul 21, 2022.