Organization · Type 2 NPI

Evergreen Presbyterian Ministries, Inc.

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

NPI number 1720539299 Active

Practice location

15212 Wadesboro Dr.
Ponchatoula, LA 70454

Call (318) 949-5500 Map

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.

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About NPI 1720539299

Evergreen Presbyterian Ministries, Inc.'s National Provider Identifier is 1720539299, issued on Oct 20, 2016. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Ponchatoula, LA. The record was last updated on Oct 20, 2016.