Organization · Type 2 NPI

Evergreen Presbyterian Ministries, Inc.

Intellectual Disabilities Intermediate Care Facility · Shreveport, LA

NPI number 1306994785 Active

Practice location

815 Ravendale Dr
Shreveport, LA 71107-4026

Call (318) 424-8457 Map

Mailing address

2101 Highway 80
Haughton, LA 71037-9488

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X496 (LA)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1306994785

Evergreen Presbyterian Ministries, Inc.'s National Provider Identifier is 1306994785, issued on Jan 8, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Shreveport, LA. The record was last updated on May 27, 2025.