Provider Demographics
NPI:1952930430
Name:RESTORING GOD'S GLORY MINISTRIES INC
Entity Type:Organization
Organization Name:RESTORING GOD'S GLORY MINISTRIES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:
Authorized Official - Last Name:GIVS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:337-580-8209
Mailing Address - Street 1:801 DUCK AVE
Mailing Address - Street 2:
Mailing Address - City:EUNICE
Mailing Address - State:LA
Mailing Address - Zip Code:70535-4960
Mailing Address - Country:US
Mailing Address - Phone:337-580-8209
Mailing Address - Fax:225-612-6396
Practice Address - Street 1:731 S C C DUSON ST
Practice Address - Street 2:
Practice Address - City:EUNICE
Practice Address - State:LA
Practice Address - Zip Code:70535-5407
Practice Address - Country:US
Practice Address - Phone:337-580-8209
Practice Address - Fax:225-612-6396
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-06
Last Update Date:2020-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332U00000XSuppliersHome Delivered Meals