Evergreen Presbyterian Ministries, Inc. - Vinton, LA

Evergreen Presbyterian Ministries, Inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Vinton, Louisiana

NPI 1952653024

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 Vinton, LA. The NPI Number for Evergreen Presbyterian Ministries, Inc. is 1952653024 and holds a License No. (Louisiana).

The current practice location address for Evergreen Presbyterian Ministries, Inc. is 1805 Penny Dr, Vinton, LA and can be reached out via phone at 318-949-5500 and via fax at 318-949-5555.

Location: 1805 Penny Dr, Vinton, LA, 71037-9488

NPI Number

1952653024

Provider Name

Evergreen Presbyterian Ministries, Inc.

Credential

Provider Entity Type

Organization

Address

1805 Penny Dr, Vinton, LA, 71037-9488

Phone Number

318-949-5500

Fax Number

318-949-5555

Provider Enumeration Date

10/12/2012

Last Update Date

03/12/2024

Identifier	Type	State	Issuer
1715557	05	LA

Address

1805 Penny Dr

City

Vinton

State

Louisiana

Zip

70668-4905

Phone Number

318-949-5500

Fax Number

318-949-5555

Address

1805 Penny Dr

City

Vinton

State

Louisiana

Zip

70668-4905

Phone Number

318-949-5500

Fax Number

318-949-5555

Type

Nursing & Custodial Care Facilities

Classification

Intermediate Care Facility, Mentally Retarded

Speciality

Taxonomy

315P00000X

License No.

220378161 (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.

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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