Organization · Type 2 NPI
Evergreen Presbyterian Ministries, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Hammond, LA
Practice location
10599 Gatlin Road
Hammond, LA 70403
Fax (985) 386-9380
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 1679921860
Evergreen Presbyterian Ministries, Inc.'s National Provider Identifier is 1679921860, issued on May 27, 2016. 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 May 27, 2016.