Organization · Type 2 NPI
Evergreen Presbyterian Ministries, Inc.
Intellectual Disabilities Intermediate Care Facility · Covington, LA
NPI number
1003962838
Active
Practice location
11 Patricia Dr
Covington, LA 70433-1042
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 733 (LA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1003962838
Evergreen Presbyterian Ministries, Inc.'s National Provider Identifier is 1003962838, issued on Jan 26, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Covington, LA. The record was last updated on Jun 16, 2008.