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Evergreen Presbyterian Ministries, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Vinton, Louisiana
NPI 1144573619

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 Vinton, LA. The NPI Number for Evergreen Presbyterian Ministries, Inc. is 1144573619 and holds a License No. 2203781165 (Louisiana).

The current practice location address for Evergreen Presbyterian Ministries, Inc. is 1223 Fancher St, Vinton, LA and can be reached out via phone at 318-949-5500 and via fax at 318-949-5555.

Location: 1223 Fancher St, Vinton, LA, 71037-9488
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144573619
Provider Name
Evergreen Presbyterian Ministries, Inc.
Credential
Provider Entity Type
Organization
Address
1223 Fancher St, Vinton, LA, 71037-9488
Phone Number
318-949-5500
Fax Number
318-949-5555
Provider Enumeration Date
10/22/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
2203781165 05 LA
institution
Provider Business Practice Location Address Details
Address
1223 Fancher St
City
Vinton
State
Louisiana
Zip
70668-4319
Phone Number
318-949-5500
Fax Number
318-949-5555
person
Provider Business Mailing Address Details
Address
1223 Fancher St
City
Vinton
State
Louisiana
Zip
70668-4319
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.
2203781165 (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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