Organization · Type 2 NPI

Evergreen Presbyterian Ministries, Inc.

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

NPI number 1609014190 Active

Practice location

906 C M Fagan Dr, Suite 6-A
Hammond, LA 70403-6056

Call (985) 543-6591 Map

Fax (985) 543-6638

Mailing address

2101 Highway 80
Haughton, LA 71037-9488

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X9957 (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 1609014190

Evergreen Presbyterian Ministries, Inc.'s National Provider Identifier is 1609014190, issued on Jan 22, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Hammond, LA. The record was last updated on Jan 22, 2009.