Evergreen Presbyterian Ministries, Inc. in Haughton - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Evergreen Presbyterian Ministries, Inc. - NPI 1912052739

Evergreen Presbyterian Ministries, Inc. is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Haughton, Louisiana. Evergreen Presbyterian Ministries, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Evergreen Presbyterian Ministries, Inc. is 1912052739. The last update date is 2008-06-16.

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 1912052739
Provider Enumeration Date 2007-01-24
Last Updated Date 2008-06-16

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 Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Licence No PCA 2856
Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
1564664 LA --

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FAQs about Evergreen Presbyterian Ministries, Inc.

What is the unique 10-digit 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) 1912052739 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Evergreen Presbyterian Ministries, Inc.?

The Evergreen Presbyterian Ministries, Inc. is physically situated at 2101 Highway 80, in the city of Haughton, state of LA, with the postal code 710379488.

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 Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and it falls under the taxonomy code 320900000X, which categorizes healthcare providers based on their areas of practice.

On what date did the Centers for Medicare & Medicaid Services issue the 1912052739 to Evergreen Presbyterian Ministries, Inc.?

The Evergreen Presbyterian Ministries, Inc. received its 1912052739 assignment from the Centers for Medicare & Medicaid Services on 2007-01-24.

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 2008-06-16.

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