Organization · Type 2 NPI

Evergreen Presbyterian Ministries, Inc.

Intellectual Disabilities Intermediate Care Facility · Shreveport, LA

NPI number 1457409153 Active

Practice location

181 Carroll St
Shreveport, LA 71105-4234

Call (318) 687-9622 Map

Mailing address

2101 Highway 80
Haughton, LA 71037-9488

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X344 (LA)

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

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About NPI 1457409153

Evergreen Presbyterian Ministries, Inc.'s National Provider Identifier is 1457409153, 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.