Organization · Type 2 NPI
Evergreen Presbyterian Ministries, Inc.
Intellectual Disabilities Intermediate Care Facility · Pineville, LA
NPI number
1306990171
Active
Practice location
739 Fendler Pkwy
Pineville, LA 71360-4702
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 501 (LA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1306990171
Evergreen Presbyterian Ministries, Inc.'s National Provider Identifier is 1306990171, 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 May 30, 2025.