institution
Evergreen Presbyterian Ministries, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Bossier City, Louisiana
NPI 1104965409

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 Bossier City, LA. The NPI Number for Evergreen Presbyterian Ministries, Inc. is 1104965409 and holds a License No. SIL 4606 (Louisiana).

The current practice location address for Evergreen Presbyterian Ministries, Inc. is 3907 Shed Rd, Bossier City, LA and can be reached out via phone at 318-747-9855.

Location: 3907 Shed Rd, Bossier City, LA, 71037-9488
institution
Provider Profile Details
NPI Number
1104965409
Provider Name
Evergreen Presbyterian Ministries, Inc.
Credential
Provider Entity Type
Organization
Address
3907 Shed Rd, Bossier City, LA, 71037-9488
Phone Number
318-747-9855
Fax Number
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1918768 05 LA
institution
Provider Business Practice Location Address Details
Address
3907 Shed Rd
City
State
Zip
71111-5214
Phone Number
318-747-9855
Fax Number
person
Provider Business Mailing Address Details
Address
3907 Shed Rd
City
State
Zip
71111-5214
Phone Number
318-747-9855
Fax Number
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.
SIL 4606 (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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