Organization · Type 2 NPI
Evergreen Presbyterian Ministries, Inc.
Intellectual Disabilities Intermediate Care Facility · Hammond, LA
NPI number
1235285073
Active
Practice location
43474 S Range Rd
Hammond, LA 70403-6320
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 864 (LA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1235285073
Evergreen Presbyterian Ministries, Inc.'s National Provider Identifier is 1235285073, issued on Jan 26, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Hammond, LA. The record was last updated on Jun 16, 2008.