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Evergreen Presbyterian Ministries, Inc.
Intellectual Disabilities Intermediate Care Facility in Shreveport, Louisiana
NPI 1306994785

Evergreen Presbyterian Ministries, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Haughton, LA. Evergreen Presbyterian Ministries, Inc. practices in Shreveport, LA. The NPI Number for Evergreen Presbyterian Ministries, Inc. is 1306994785 and holds a License No. 496 (Louisiana).

The current practice location address for Evergreen Presbyterian Ministries, Inc. is 815 Ravendale Dr, Shreveport, LA and can be reached out via phone at 318-424-8457.

Location: 815 Ravendale Dr, Shreveport, LA, 71037-9488
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1306994785
Provider Name
Evergreen Presbyterian Ministries, Inc.
Credential
Provider Entity Type
Organization
Address
815 Ravendale Dr, Shreveport, LA, 71037-9488
Phone Number
318-424-8457
Fax Number
Provider Enumeration Date
01/08/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1717355 05 LA
institution
Provider Business Practice Location Address Details
Address
815 Ravendale Dr
City
Shreveport
State
Louisiana
Zip
71107-4026
Phone Number
318-424-8457
Fax Number
person
Provider Business Mailing Address Details
Address
815 Ravendale Dr
City
Shreveport
State
Louisiana
Zip
71107-4026
Phone Number
318-424-8457
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
496 (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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