Gloryhouse Ilp
Gloryhouse Ilp is a Community Health Clinic/Center in Baton Rouge, Louisiana. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
3173 Washington AveBaton Rouge, LA 70802-2178
Phone: (225) 778-7678
Fax: (225) 341-6825
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Clinic/Center (primary) | Taxonomy 261QC1500X |
|---|
Record details
| NPI number | 1093302291 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Cynthia Jackson — Owner · (225) 614-8960 |
| NPI enumerated | December 22, 2020 |
| Last updated in NPPES | December 22, 2020 |
| Certification date | December 22, 2020 |
| Mailing address | 3173 Washington Ave, Baton Rouge, LA 70802-2178 |
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