Organization
GLORY DIVINE HOME CARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEDDRA W HOLMES LPN (CEO)
(225) 473-8911
Entity
Organization
Contact information
Practice address
3443 HIGHWAY 1 S, DONALDSONVILLE, LA 70346-9707
(225) 473-8911
(225) 473-8914
Mailing address
3443 HIGHWAY 1 S, DONALDSONVILLE, LA 70346-9707
(225) 473-8911
(225) 473-8914
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
10/22/2008
Last updated
10/22/2008
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