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Evergreen Presbyterian Ministries, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Iota, Louisiana
NPI 1083931125

Evergreen Presbyterian Ministries, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Haughton, LA. Evergreen Presbyterian Ministries, Inc. practices in Iota, LA. The NPI Number for Evergreen Presbyterian Ministries, Inc. is 1083931125 and holds a License No. APPLIED FOR (Louisiana).

The current practice location address for Evergreen Presbyterian Ministries, Inc. is 530 Mcmillan Ave, Iota, LA and can be reached out via phone at 318-949-5500 and via fax at 318-949-5555.

Location: 530 Mcmillan Ave, Iota, LA, 71037-9488
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1083931125
Provider Name
Evergreen Presbyterian Ministries, Inc.
Credential
Provider Entity Type
Organization
Address
530 Mcmillan Ave, Iota, LA, 71037-9488
Phone Number
318-949-5500
Fax Number
318-949-5555
Provider Enumeration Date
04/29/2010
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
APPLIED FOR 05 LA
institution
Provider Business Practice Location Address Details
Address
530 Mcmillan Ave
City
Iota
State
Louisiana
Zip
70543-4704
Phone Number
318-949-5500
Fax Number
318-949-5555
person
Provider Business Mailing Address Details
Address
530 Mcmillan Ave
City
Iota
State
Louisiana
Zip
70543-4704
Phone Number
318-949-5500
Fax Number
318-949-5555
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
APPLIED FOR (Louisiana)
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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