institution
Evergreen Presbyterian Ministries, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Leesville, Louisiana
NPI 1902123037

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 Leesville, LA. The NPI Number for Evergreen Presbyterian Ministries, Inc. is 1902123037 and holds a License No. APPLIED FOR (Louisiana).

The current practice location address for Evergreen Presbyterian Ministries, Inc. is 510 Curtis St, Leesville, LA and can be reached out via phone at 318-949-5500 and via fax at 318-949-5555.

Location: 510 Curtis St, Leesville, LA, 71037-9488
institution
Provider Profile Details
NPI Number
1902123037
Provider Name
Evergreen Presbyterian Ministries, Inc.
Credential
Provider Entity Type
Organization
Address
510 Curtis St, Leesville, LA, 71037-9488
Phone Number
318-949-5500
Fax Number
318-949-5555
Provider Enumeration Date
04/29/2010
Last Update Date
03/09/2024
tick
Provider's Legacy Identifiers
Identifier Type State Issuer
APPLIED FOR 05 LA
institution
Provider Business Practice Location Address Details
Address
510 Curtis St
City
State
Zip
71446-3806
Phone Number
318-949-5500
Fax Number
318-949-5555
person
Provider Business Mailing Address Details
Address
510 Curtis St
City
State
Zip
71446-3806
Phone Number
318-949-5500
Fax Number
318-949-5555
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
APPLIED FOR (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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