Organization · Type 2 NPI
Evergreen Presbyterian Ministries of East TN
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Knoxville, TN
Practice location
1304 Wilson Rd, Suite 105
Knoxville, TN 37912-5693
Fax (865) 689-4054
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
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 1508984972
Evergreen Presbyterian Ministries of East TN's National Provider Identifier is 1508984972, issued on Mar 26, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Knoxville, TN. The record was last updated on Aug 22, 2020.