Evergreen Presbyterian Ministries, Inc. in Lake Charles - Intermediate Care Facility, Intellectual Disabilities
Evergreen Presbyterian Ministries, Inc. - NPI 1215081302
Evergreen Presbyterian Ministries, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Lake Charles, 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 1215081302. The last update date is 2008-06-13.
Evergreen Presbyterian Ministries, Inc.'s current location address is 2410 2nd Ave, Lake Charles, Louisiana. You can contact this provider via phone number 3374971141. The mailing address for Evergreen Presbyterian Ministries, Inc. is 2410 2nd Ave, Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Presbyterian Ministries, Inc. |
|---|---|
| Address | 2410 2nd Ave, Lake Charles, Louisiana |
| Phone Number | 3374971141 |
| 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 | 1215081302 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
| Address | 2410 2nd Ave |
|---|---|
| City | Lake Charles |
| State | Louisiana (LA) |
| Post Code | 706017760 |
| Phone Number | 3374971141 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 608 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1718602 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Evergreen Presbyterian Ministries, Inc. by the Centers for Medicare & Medicaid Services (CMS)?
The Evergreen Presbyterian Ministries, Inc. has been assigned the NPI (National Provider Identifier) 1215081302. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
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: 2410 2Nd Ave, Lake Charles, LA, 706017760.
What is the area of specialization for Evergreen Presbyterian Ministries, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Evergreen Presbyterian Ministries, Inc. is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 315P00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1215081302 to Evergreen Presbyterian Ministries, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1215081302 to Evergreen Presbyterian Ministries, Inc. on 2007-01-23.
As of what date were the Evergreen Presbyterian Ministries, Inc.'s details last updated?
The information pertaining to the Evergreen Presbyterian Ministries, Inc., including its address, specialty, and other details, was most recently updated on 2008-06-13.
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