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

Evergreen Presbyterian Ministries, Inc. - NPI 1154479731

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 1154479731. 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 Craft Kent
Telephone Number 3189495500

NPI Number Detail

NPI Number 1154479731
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 551
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1717916 LA --

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FAQs about Evergreen Presbyterian Ministries, Inc.

What is the Evergreen Presbyterian Ministries, Inc.'s 1154479731?

The Evergreen Presbyterian Ministries, Inc.'s NPI (National Provider Identifier) Number is 1154479731. 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 1154479731 from the Centers for Medicare & Medicaid Services?

The Evergreen Presbyterian Ministries, Inc. was issued its 1154479731 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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