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A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Residential Treatment Facility, Physical Disabilities |
320700000X |
| NPI Number | 1326235565 |
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| LBN Legal business name | SHEKINAH GLORY | ||||||||
| Authorized official | DEBRA CARTER - (PASTOR) | ||||||||
| Entity | Organization | ||||||||
| Organization subpart 1 | No | ||||||||
| Enumeration date | 10/02/2007 | ||||||||
| Last updated | 10/02/2007 - About 19 years ago | ||||||||
| Identifiers |
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SHEKINAH GLORY
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SHEKINAH GLORY