Organization · Type 2 NPI
Evergreen Presbyterian Ministries, Inc.
Intellectual Disabilities Intermediate Care Facility · Sibley, LA
NPI number
1750436564
Active
Practice location
571 Crichton Rd
Sibley, LA 71073-2949
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 761 (LA) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1750436564
Evergreen Presbyterian Ministries, Inc.'s National Provider Identifier is 1750436564, issued on Jan 24, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Sibley, LA. The record was last updated on Jun 16, 2008.