Evergreen Presbyterian Ministries, Inc. in Lake Charles - Intermediate Care Facility, Intellectual Disabilities
Evergreen Presbyterian Ministries, Inc. - NPI 1366596462
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 1366596462. The last update date is 2008-06-13.
Evergreen Presbyterian Ministries, Inc.'s current location address is 510 University Dr, Lake Charles, Louisiana. You can contact this provider via phone number 3374742041. The mailing address for Evergreen Presbyterian Ministries, Inc. is 510 University Dr, Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Presbyterian Ministries, Inc. |
|---|---|
| Address | 510 University Dr, Lake Charles, Louisiana |
| Phone Number | 3374742041 |
| 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 | 1366596462 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
| Address | 510 University Dr |
|---|---|
| City | Lake Charles |
| State | Louisiana (LA) |
| Post Code | 706055632 |
| Phone Number | 3374742041 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 618 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1718734 | LA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Evergreen Presbyterian Ministries, Inc. by the Centers for Medicare & Medicaid Services?
The Evergreen Presbyterian Ministries, Inc. has been assigned the NPI (National Provider Identifier) 1366596462. This 10-digit code serves as a unique identification number for healthcare providers issued 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: 510 University Dr, Lake Charles, LA 706055632.
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 1366596462 to Evergreen Presbyterian Ministries, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1366596462 to Evergreen Presbyterian Ministries, Inc. on 2007-01-23.
When was the Evergreen Presbyterian Ministries, Inc.'s information last updated?
The Evergreen Presbyterian Ministries, Inc.'s information was last updated on 2008-06-13.