Organization · Type 2 NPI
Evergreen Presbyterian Ministries, Inc.
Intellectual Disabilities Intermediate Care Facility · Homer, LA
NPI number
1740335637
Active
Practice location
2195 Airport Loop
Homer, LA 71040-8641
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 736 (LA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1740335637
Evergreen Presbyterian Ministries, Inc.'s National Provider Identifier is 1740335637, issued on Jan 24, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Homer, LA. The record was last updated on Jun 16, 2008.