Organization · Type 2 NPI

Evergreen Presbyterian Ministries, Inc.

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

NPI number 1770931503 Active

Practice location

24345 Harvey Lavigne Road
Ponchatoula, LA 70454

Call (985) 386-2360 Map

Fax (985) 386-9380

Mailing address

2101 Highway 80
Haughton, LA 71037-9488

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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 1770931503

Evergreen Presbyterian Ministries, Inc.'s National Provider Identifier is 1770931503, issued on Jun 2, 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 Jun 2, 2016.