Evergreen Presbyterian Ministries, Inc. in Lake Charles - Intermediate Care Facility, Intellectual Disabilities
Evergreen Presbyterian Ministries, Inc. - NPI 1275687360
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 1275687360. The last update date is 2008-06-13.
Evergreen Presbyterian Ministries, Inc.'s current location address is 4904 Orleans St, Lake Charles, Louisiana. You can contact this provider via phone number 3374770019. The mailing address for Evergreen Presbyterian Ministries, Inc. is 4904 Orleans St, Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Presbyterian Ministries, Inc. |
|---|---|
| Address | 4904 Orleans St, Lake Charles, Louisiana |
| Phone Number | 3374770019 |
| 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 | 1275687360 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
| Address | 4904 Orleans St |
|---|---|
| City | Lake Charles |
| State | Louisiana (LA) |
| Post Code | 706076328 |
| Phone Number | 3374770019 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 609 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1718599 | LA | -- |
Post Comment/ Review Below
What is the Evergreen Presbyterian Ministries, Inc.'s unique identification number?
The Evergreen Presbyterian Ministries, Inc. has been assigned the NPI (National Provider Identifier) Number 1275687360 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Evergreen Presbyterian Ministries, Inc.'s facilities are geographically located?
The facilities of Evergreen Presbyterian Ministries, Inc. are physically situated at the following location: 4904 Orleans St, Lake Charles, LA, 706076328.
What is Evergreen Presbyterian Ministries, Inc.'s area of expertise and its corresponding taxonomy classification?
The Evergreen Presbyterian Ministries, Inc.'s field of specialization is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Evergreen Presbyterian Ministries, Inc. receive its 1275687360 assignment from the Centers for Medicare & Medicaid Services?
The Evergreen Presbyterian Ministries, Inc. was assigned its 1275687360 on 2007-01-23, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Evergreen Presbyterian Ministries, Inc. most recently updated or revised?
The information pertaining to Evergreen Presbyterian Ministries, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2008-06-13.
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