OrganizationActive
Gloryhouse Ilp
NPI 1093302291 · Community Health Clinic/Center · Baton Rouge, LA
Provider details
- NPI number
- 1093302291
- Entity type
- Organization
- Primary specialty
- Community Health Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Cynthia Jackson, Owner(225) 614-8960
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
3173 Washington Ave
Baton Rouge, LA 70802-2178
Phone: (225) 778-7678
Fax: (225) 341-6825
Approximate (ZIP-level) locationGet directions
Mailing address
3173 Washington Ave
Baton Rouge, LA 70802-2178
Registry dates
- Enumerated
- 2020-12-22
- Last updated
- 2020-12-22
- Certified
- 2020-12-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.