Organization
SHEKINAH GLORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBORAH OLUKANNI (ASSISTANT PROGRAM DIRECTOR)
(757) 450-9827
Entity
Organization
Contact information
Practice address
3805 TABLE ROCK CT, VIRGINIA BEACH, VA 23452-2829
(757) 965-4575
Mailing address
3805 TABLE ROCK CT, VIRGINIA BEACH, VA 23452-2829
(757) 965-4575
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
08/27/2014
Last updated
08/27/2014
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