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Evergreen Presbyterian Ministries, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Hammond, Louisiana
NPI 1629216700

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 Hammond, LA. The NPI Number for Evergreen Presbyterian Ministries, Inc. is 1629216700 and holds a License No. 9958 (Louisiana).

The current practice location address for Evergreen Presbyterian Ministries, Inc. is 906 C M Fagan Dr, Hammond, LA and can be reached out via phone at 985-543-6591 and via fax at 985-543-6638.

Location: 906 C M Fagan Dr, Hammond, LA, 71037-9488
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1629216700
Provider Name
Evergreen Presbyterian Ministries, Inc.
Credential
Provider Entity Type
Organization
Address
906 C M Fagan Dr, Hammond, LA, 71037-9488
Phone Number
985-543-6591
Fax Number
985-543-6638
Provider Enumeration Date
01/28/2009
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
PCA 9958 05 LA
institution
Provider Business Practice Location Address Details
Address
906 C M Fagan Dr
City
Hammond
State
Louisiana
Zip
70403-6056
Phone Number
985-543-6591
Fax Number
985-543-6638
person
Provider Business Mailing Address Details
Address
906 C M Fagan Dr
City
Hammond
State
Louisiana
Zip
70403-6056
Phone Number
985-543-6591
Fax Number
985-543-6638
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.
9958 (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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