Evergreen Presbyterian Ministries, Inc. in Lake Charles - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Evergreen Presbyterian Ministries, Inc. - NPI 1972658623
Evergreen Presbyterian Ministries, Inc. is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Lake Charles, 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 1972658623. The last update date is 2008-06-13.
Evergreen Presbyterian Ministries, Inc.'s current location address is 1146 Hodges St, Lake Charles, Louisiana. You can contact this provider via phone number 3374339495. The mailing address for Evergreen Presbyterian Ministries, Inc. is 1146 Hodges St, Lake Charles, Louisiana. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Evergreen Presbyterian Ministries, Inc. |
---|---|
Address | 1146 Hodges St, Lake Charles, Louisiana |
Phone Number | 3374339495 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Taylor R John |
Telephone Number | 3189495500 |
NPI Number Detail
NPI Number | 1972658623 |
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Provider Enumeration Date | 2007-01-24 |
Last Updated Date | 2008-06-13 |
Provider Mailing Address Detail
Address | 1146 Hodges St |
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City | Lake Charles |
State | Louisiana (LA) |
Post Code | 706015216 |
Phone Number | 3374339495 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
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Taxonomy | 320900000X |
Licence No | SIL 2548 |
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 |
---|---|---|---|
1925624 | LA | -- |
Post Comment/ Review Below
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) 1972658623, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Evergreen Presbyterian Ministries, Inc.?
The Evergreen Presbyterian Ministries, Inc. is physically situated at 1146 Hodges St, in the city of Lake Charles, state of LA, with the postal code 706015216.
What is Evergreen Presbyterian Ministries, Inc.'s specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Evergreen Presbyterian Ministries, Inc.'s specialized field of practice is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this area of specialization is 320900000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1972658623 to Evergreen Presbyterian Ministries, Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1972658623 to Evergreen Presbyterian Ministries, Inc. on 2007-01-24.
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.
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