GLORYHOUSE ILP

BATON ROUGE, LA
NPI1093302291
Entity TypeOrganization
Authorized ContactCYNTHIA JACKSON
Owner
225-614-8960
Organization Subpart ?No
Primary Taxonomy261QC1500X Clinic/Center, Community Health
Enumeration Date2020-12-22
Last Update Date2020-12-22
Business Address
GLORYHOUSE ILP
3173 WASHINGTON AVE
BATON ROUGE, LA 70802-2178
Phone number: 225-778-7678
Mailing Address
GLORYHOUSE ILP
3173 WASHINGTON AVE
BATON ROUGE, LA 70802-2178
Phone number: 225-778-7678