Evergreen Presbyterian Ministries, Inc. in Bossier City - Intermediate Care Facility, Intellectual Disabilities

Evergreen Presbyterian Ministries, Inc. - NPI 1942360557

Evergreen Presbyterian Ministries, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Bossier City, Louisiana. Evergreen Presbyterian Ministries, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Evergreen Presbyterian Ministries, Inc. is 1942360557. The last update date is 2008-06-12.

Evergreen Presbyterian Ministries, Inc.'s current location address is Po Box 72360, Bossier City, Louisiana. You can contact this provider via phone number 3189495500. The mailing address for Evergreen Presbyterian Ministries, Inc. is Po Box 72360, Bossier City, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Evergreen Presbyterian Ministries, Inc.
Address Po Box 72360, Bossier City, Louisiana
Phone Number 3189495500
Fax Number
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Taylor R. Jorhn
Telephone Number 3189495500

NPI Number Detail

NPI Number 1942360557
Provider Enumeration Date 2006-12-12
Last Updated Date 2008-06-12

Provider Mailing Address Detail

Address Po Box 72360
City Bossier City
State Louisiana (LA)
Post Code 711722360
Phone Number 3189495500
Fax Number

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Licence No 934
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1711241 LA --

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FAQs about Evergreen Presbyterian Ministries, Inc.

What is the unique 10-digit identifier code assigned to Evergreen Presbyterian Ministries, Inc. by the Centers for Medicare & Medicaid Services?

The Evergreen Presbyterian Ministries, Inc. has been issued the NPI (National Provider Identifier) 1942360557 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please share the complete physical location address where Evergreen Presbyterian Ministries, Inc.'s facilities are situated?

The facilities of Evergreen Presbyterian Ministries, Inc. are physically located at the following address: Po Box 72360, Bossier City, LA, 711722360.

What is Evergreen Presbyterian Ministries, Inc.'s primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?

The primary area of medical expertise for Evergreen Presbyterian Ministries, Inc. is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy classification code for this specialized field is 315P00000X.

On what date did the Evergreen Presbyterian Ministries, Inc. receive its 1942360557 assignment from the Centers for Medicare & Medicaid Services?

The Evergreen Presbyterian Ministries, Inc. was assigned its 1942360557 by the Centers for Medicare & Medicaid Services on 2006-12-12.

As of what date were the details pertaining to Evergreen Presbyterian Ministries, Inc. last refreshed?

The information related to the Evergreen Presbyterian Ministries, Inc., including its address, specialty, and other relevant details, was last updated on 2008-06-12.

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