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
Authorized Official Name Taylor R John
Telephone Number 3189495500

NPI Number Detail

NPI Number 1972658623
Provider Enumeration Date 2007-01-24
Last Updated Date 2008-06-13

Provider Mailing Address Detail

Address 1146 Hodges St
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
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 --

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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) 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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