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

Evergreen Presbyterian Ministries, Inc. - NPI 1437204385

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 1437204385. The last update date is 2008-06-13.

Evergreen Presbyterian Ministries, Inc.'s current location address is 505 Julius St, Lake Charles, Louisiana. You can contact this provider via phone number 3375621999. The mailing address for Evergreen Presbyterian Ministries, Inc. is 505 Julius St, Lake Charles, Louisiana. To know further, please read the information below!

Provider Profile Detail

Provider Organization Evergreen Presbyterian Ministries, Inc.
Address 505 Julius St, Lake Charles, Louisiana
Phone Number 3375621999
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 1437204385
Provider Enumeration Date 2007-01-23
Last Updated Date 2008-06-13

Provider Mailing Address Detail

Address 505 Julius St
City Lake Charles
State Louisiana (LA)
Post Code 706052731
Phone Number 3375621999
Fax Number

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Licence No 630
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1718891 LA --

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FAQs about Evergreen Presbyterian Ministries, Inc.

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) 1437204385. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

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: 505 Julius St, Lake Charles, LA, 706052731.

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 the Centers for Medicare & Medicaid Services issue the 1437204385 to Evergreen Presbyterian Ministries, Inc.?

The Evergreen Presbyterian Ministries, Inc. received its 1437204385 assignment from the Centers for Medicare & Medicaid Services on 2007-01-23.

When was the information pertaining to Evergreen Presbyterian Ministries, Inc. most recently updated or revised?

The details related to Evergreen Presbyterian Ministries, Inc., including its address, specialty, and other relevant information, were last updated or revised on 2008-06-13.

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