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Evergreen Presbyterian Ministries, Inc.
Intellectual Disabilities Intermediate Care Facility in Shongaloo, Louisiana
NPI 1528113420

Evergreen Presbyterian Ministries, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Haughton, LA. Evergreen Presbyterian Ministries, Inc. practices in Shongaloo, LA. The NPI Number for Evergreen Presbyterian Ministries, Inc. is 1528113420 and holds a License No. 679 (Louisiana).

The current practice location address for Evergreen Presbyterian Ministries, Inc. is 108 S Willow Rd, Shongaloo, LA and can be reached out via phone at 318-539-4957.

Location: 108 S Willow Rd, Shongaloo, LA, 71037-9488
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1528113420
Provider Name
Evergreen Presbyterian Ministries, Inc.
Credential
Provider Entity Type
Organization
Address
108 S Willow Rd, Shongaloo, LA, 71037-9488
Phone Number
318-539-4957
Fax Number
Provider Enumeration Date
01/24/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1719480 05 LA
institution
Provider Business Practice Location Address Details
Address
108 S Willow Rd
City
Shongaloo
State
Louisiana
Zip
71072-2500
Phone Number
318-539-4957
Fax Number
person
Provider Business Mailing Address Details
Address
108 S Willow Rd
City
Shongaloo
State
Louisiana
Zip
71072-2500
Phone Number
318-539-4957
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
679 (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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