Organization · Type 2 NPI

Evergreen Presbyterian Ministries, Inc.

Intellectual Disabilities Intermediate Care Facility · Shreveport, LA

NPI number 1356499040 Active

Practice location

3315 Terrace Dr
Shreveport, LA 71107-3932

Call (318) 226-8940 Map

Mailing address

2101 Highway 80
Haughton, LA 71037-9488

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X164 (LA)

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

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About NPI 1356499040

Evergreen Presbyterian Ministries, Inc.'s National Provider Identifier is 1356499040, 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.