institution
Evergreen Presbyterian Ministries Of West Tn
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Memphis, Tennessee
NPI 1063530442

Evergreen Presbyterian Ministries Of West Tn is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Haughton, TN. Evergreen Presbyterian Ministries Of West Tn practices in Memphis, TN. The NPI Number for Evergreen Presbyterian Ministries Of West Tn is 1063530442 and holds a License No. (Tennessee).

The current practice location address for Evergreen Presbyterian Ministries Of West Tn is 5154 Stage Rd, Memphis, TN and can be reached out via phone at 901-381-9370 and via fax at 901-381-9368. You can also correspond with Evergreen Presbyterian Ministries Of West Tn through the mailing address at 2101 HIGHWAY 80, HAUGHTON, LA - 71037-9488 (mailing address contact number: 318-742-8440).

Location: 5154 Stage Rd, Memphis, TN, 71037-9488
institution
Provider Profile Details
NPI Number
1063530442
Provider Name
Evergreen Presbyterian Ministries Of West Tn
Credential
Provider Entity Type
Organization
Address
5154 Stage Rd, Memphis, TN, 71037-9488
Phone Number
901-381-9370
Fax Number
901-381-9368
Provider Enumeration Date
03/26/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
00E21 05 TN
institution
Provider Business Practice Location Address Details
Address
5154 Stage Rd
City
State
Zip
38134-3118
Phone Number
901-381-9370
Fax Number
901-381-9368
person
Provider Business Mailing Address Details
Address
5154 Stage Rd
City
State
Zip
38134-3118
Phone Number
901-381-9370
Fax Number
901-381-9368
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
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Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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