Organization · Type 2 NPI

Evergreen Presbyterian Ministries, Inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Vinton, LA

NPI number 1013260488 Active

Practice location

1805 Penny Dr
Vinton, LA 70668-4905

Call (318) 949-5500 Map

Fax (318) 949-5555

Mailing address

2101 Highway 80
Haughton, LA 71037-9488

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X2203781160 (LA)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1013260488

Evergreen Presbyterian Ministries, Inc.'s National Provider Identifier is 1013260488, issued on Oct 22, 2012. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Vinton, LA. The record was last updated on Oct 22, 2012.