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Organization

SOLOMON TEMPLE MINISTRIES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. DEBORAH MARIE GASAWAY DOCTORATE & MA (ADMINISTRATOR)
(337) 794-2071
Entity
Organization

Contact information

Practice address
1917 HARLESS ST, LAKE CHARLES, LA 70601-1036
(337) 794-2071
(337) 478-1379
Mailing address
1917 HARLESS ST, LAKE CHARLES, LA 70601-1036
(337) 794-2071
(337) 478-1379

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
251S00000X
Community/Behavioral Health Agency
Primary
253Z00000X
In Home Supportive Care Agency

Other

Enumeration date
05/23/2016
Last updated
05/23/2016
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