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

Evergreen Presbyterian Ministries,Inc. - NPI 1215085626

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 1215085626. 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 Taylor R John
Telephone Number 3189495500

NPI Number Detail

NPI Number 1215085626
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 2102860318
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1718009 LA --

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FAQs about Evergreen Presbyterian Ministries,Inc.

What is the unique 10-digit identification code assigned to Evergreen Presbyterian Ministries,Inc. by the Centers for Medicare & Medicaid Services?

The Evergreen Presbyterian Ministries,Inc. has been issued the NPI (National Provider Identifier) 1215085626, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Evergreen Presbyterian Ministries,Inc. is 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 area of specialization, and what is the corresponding taxonomy classification code for this field of practice?

The specialized area of practice for Evergreen Presbyterian Ministries,Inc. is Intermediate Care Facility, Intellectual Disabilities, and the taxonomy code that categorizes this field of expertise is 315P00000X.

On what date did the Evergreen Presbyterian Ministries,Inc. receive its 1215085626 assignment from the Centers for Medicare & Medicaid Services?

The Evergreen Presbyterian Ministries,Inc. was assigned its 1215085626 by the Centers for Medicare & Medicaid Services on 2007-01-08.

When was the Evergreen Presbyterian Ministries,Inc.'s information last updated?

The Evergreen Presbyterian Ministries,Inc.'s information was last updated on 2008-06-12.

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