Organization · Type 2 NPI
Evergreen Presbyterian Ministries, Inc.
Intellectual Disabilities Intermediate Care Facility · Pineville, LA
NPI number
1700930229
Active
Practice location
443 E Ridge Dr
Pineville, LA 71360-4701
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 502 (LA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1700930229
Evergreen Presbyterian Ministries, Inc.'s National Provider Identifier is 1700930229, issued on Jan 22, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Pineville, LA. The record was last updated on May 30, 2025.