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Evergreen Presbyterian Ministries, Inc.
Intellectual Disabilities Intermediate Care Facility in Shreveport, Louisiana
NPI 1942360557

Evergreen Presbyterian Ministries, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Bossier City, LA. Evergreen Presbyterian Ministries, Inc. practices in Shreveport, LA. The NPI Number for Evergreen Presbyterian Ministries, Inc. is 1942360557 and holds a License No. 934 (Louisiana).

The current practice location address for Evergreen Presbyterian Ministries, Inc. is 319 Meadowbrook Ln, Shreveport, LA and can be reached out via phone at 318-429-7516.

Location: 319 Meadowbrook Ln, Shreveport, LA, 71172-2360
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1942360557
Provider Name
Evergreen Presbyterian Ministries, Inc.
Credential
Provider Entity Type
Organization
Address
319 Meadowbrook Ln, Shreveport, LA, 71172-2360
Phone Number
318-429-7516
Fax Number
Provider Enumeration Date
12/12/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1711241 05 LA
institution
Provider Business Practice Location Address Details
Address
319 Meadowbrook Ln
City
Shreveport
State
Louisiana
Zip
71105-4315
Phone Number
318-429-7516
Fax Number
person
Provider Business Mailing Address Details
Address
319 Meadowbrook Ln
City
Shreveport
State
Louisiana
Zip
71105-4315
Phone Number
318-429-7516
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
934 (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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