Organization · Type 2 NPI
Evergreen Presbyterian Ministries, Inc.
Intellectual Disabilities Intermediate Care Facility · Baton Rouge, LA
NPI number
1629124458
Active
Practice location
12418 Morgan Meadow Ave
Baton Rouge, LA 70818-5007
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 865 (LA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1629124458
Evergreen Presbyterian Ministries, Inc.'s National Provider Identifier is 1629124458, issued on Jan 26, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Baton Rouge, LA. The record was last updated on Jun 16, 2008.