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NPI Code Detail

MEDICARE: TASHIRA SHANTA GLOVER

MEDICARE:   TASHIRA SHANTA GLOVER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1385H00000XRespite Care

General Provider Information

NPI Number : 1750224655
Entity Type Code : Individual
Provider Name (Legal Business Name) : TASHIRA SHANTA GLOVER
Provider Business Mailing Address
First Line : 215 EISENHOWER DR
Second Line :
City : MONROE
State : LA
Zip : 71203-6812
Country : US
Telephone Number : 318-753-2200
Fax Number : 318-753-2200
Provider Business Practice Location Address
First Line : 215 EISENHOWER DR
Second Line :
City : MONROE
State : LA
Zip : 71203-6812
Country : US
Telephone Number : 318-753-2200
Fax Number : 318-753-2200
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/14/2026
Last Update Date : 04/14/2026

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Directions to “ TASHIRA SHANTA GLOVER ” Practice Location

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