Organization · Type 2 NPI

Evergreen Presbyterian Ministries, Inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Leesville, LA

NPI number 1457678591 Active

Practice location

301 Knapp St
Leesville, LA 71446-3035

Call (318) 949-5500 Map

Fax (318) 949-5555

Mailing address

2101 Highway 80
Haughton, LA 71037-9488

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XAPPLIED FOR (LA)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1457678591

Evergreen Presbyterian Ministries, Inc.'s National Provider Identifier is 1457678591, issued on Apr 29, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Leesville, LA. The record was last updated on Apr 29, 2010.