Evergreen Presbyterian Ministries, Inc. in Haughton - Intermediate Care Facility, Intellectual Disabilities
Evergreen Presbyterian Ministries, Inc. - NPI 1104974781
Evergreen Presbyterian Ministries, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Haughton, 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 1104974781. The last update date is 2008-06-12.
Evergreen Presbyterian Ministries, Inc.'s current location address is 2101 Highway 80, Haughton, Louisiana. You can contact this provider via phone number 3189495500. The mailing address for Evergreen Presbyterian Ministries, Inc. is 2101 Highway 80, Haughton, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Presbyterian Ministries, Inc. |
|---|---|
| Address | 2101 Highway 80, Haughton, Louisiana |
| Phone Number | 3189495500 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Taylor R John |
| Telephone Number | 3189495500 |
NPI Number Detail
| NPI Number | 1104974781 |
|---|---|
| Provider Enumeration Date | 2007-01-08 |
| Last Updated Date | 2008-06-12 |
Provider Mailing Address Detail
| Address | 2101 Highway 80 |
|---|---|
| City | Haughton |
| State | Louisiana (LA) |
| Post Code | 710379488 |
| Phone Number | 3189495500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 710 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1719731 | LA | -- |
Post Comment/ Review Below
What is the Evergreen Presbyterian Ministries, Inc.'s 1104974781?
The Evergreen Presbyterian Ministries, Inc.'s NPI (National Provider Identifier) Number is 1104974781. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Evergreen Presbyterian Ministries, Inc. is physically located?
The Evergreen Presbyterian Ministries, Inc. is situated at the following address: 2101 Highway 80, Haughton, LA 710379488.
What is Evergreen Presbyterian Ministries, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Evergreen Presbyterian Ministries, Inc.'s specialized field of practice is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 315P00000X.
On what date did the Evergreen Presbyterian Ministries, Inc. receive the assignment of its 1104974781 from the Centers for Medicare & Medicaid Services?
The Evergreen Presbyterian Ministries, Inc. was issued its 1104974781 by the Centers for Medicare & Medicaid Services on 2007-01-08.
As of what date was the information pertaining to Evergreen Presbyterian Ministries, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Evergreen Presbyterian Ministries, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-12.
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