Organization · Type 2 NPI
Evergreen Presbyterian Ministries,inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Ponchatoula, LA
Practice location
955 Live Oak Ct
Ponchatoula, LA 70454-4869
Fax (318) 949-5555
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
About NPI 1962892331
Evergreen Presbyterian Ministries,inc.'s National Provider Identifier is 1962892331, issued on Jan 23, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Ponchatoula, LA. The record was last updated on Jan 23, 2015.