Organization · Type 2 NPI
Evergreen Presbyterian Ministries, Inc.
Intellectual Disabilities Intermediate Care Facility · Pineville, LA
NPI number
1144374695
Active
Practice location
132 Anna Ln
Pineville, LA 71360-4510
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 674 (LA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1144374695
Evergreen Presbyterian Ministries, Inc.'s National Provider Identifier is 1144374695, issued on Jan 22, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Pineville, LA. The record was last updated on Jun 12, 2008.