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Evergreen Presbyterian Ministries, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Ponchatoula, Louisiana
NPI 1619321361

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 Ponchatoula, LA. The NPI Number for Evergreen Presbyterian Ministries, Inc. is 1619321361 and holds a License No. (Louisiana).

The current practice location address for Evergreen Presbyterian Ministries, Inc. is 20098 Highway 22, Ponchatoula, LA and can be reached out via phone at 985-386-2360 and via fax at 985-386-9380.

Location: 20098 Highway 22, Ponchatoula, LA, 71037-9488
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1619321361
Provider Name
Evergreen Presbyterian Ministries, Inc.
Credential
Provider Entity Type
Organization
Address
20098 Highway 22, Ponchatoula, LA, 71037-9488
Phone Number
985-386-2360
Fax Number
985-386-9380
Provider Enumeration Date
04/19/2016
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
20098 Highway 22
City
Ponchatoula
State
Louisiana
Zip
70454-6776
Phone Number
985-386-2360
Fax Number
985-386-9380
person
Provider Business Mailing Address Details
Address
20098 Highway 22
City
Ponchatoula
State
Louisiana
Zip
70454-6776
Phone Number
985-386-2360
Fax Number
985-386-9380
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.
()
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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