Organization · Type 2 NPI

Evergreen Presbyterian Ministries, Inc.

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

NPI number 1881049211 Active

Practice location

103 East Pecan St.
Ponchatoula, LA 70454

Call (985) 386-2360 Map

Fax (985) 386-9380

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 1881049211

Evergreen Presbyterian Ministries, Inc.'s National Provider Identifier is 1881049211, issued on May 4, 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 May 4, 2016.