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Evergreen Presbyterian Ministries, Inc.
Intellectual Disabilities Intermediate Care Facility in Lake Charles, Louisiana
NPI 1275687360

Evergreen Presbyterian Ministries, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Haughton, LA. Evergreen Presbyterian Ministries, Inc. practices in Lake Charles, LA. The NPI Number for Evergreen Presbyterian Ministries, Inc. is 1275687360 and holds a License No. 609 (Louisiana).

The current practice location address for Evergreen Presbyterian Ministries, Inc. is 4904 Orleans St, Lake Charles, LA and can be reached out via phone at 337-477-0019.

Location: 4904 Orleans St, Lake Charles, LA, 71037-9488
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275687360
Provider Name
Evergreen Presbyterian Ministries, Inc.
Credential
Provider Entity Type
Organization
Address
4904 Orleans St, Lake Charles, LA, 71037-9488
Phone Number
337-477-0019
Fax Number
Provider Enumeration Date
01/23/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1718599 05 LA
institution
Provider Business Practice Location Address Details
Address
4904 Orleans St
City
Lake Charles
State
Louisiana
Zip
70607-6328
Phone Number
337-477-0019
Fax Number
person
Provider Business Mailing Address Details
Address
4904 Orleans St
City
Lake Charles
State
Louisiana
Zip
70607-6328
Phone Number
337-477-0019
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
609 (Louisiana)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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