Organization · Type 2 NPI
Evergreen Presbyterian Ministries, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Independence, LA
Practice location
27683 Ivy Springs Dr
Independence, LA 70443-4927
Fax (318) 949-5555
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.
About NPI 1598083867
Evergreen Presbyterian Ministries, Inc.'s National Provider Identifier is 1598083867, issued on May 12, 2010. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Independence, LA. The record was last updated on May 12, 2010.