Evergreen Presbyterian Ministries, Inc.

NPI #1083931125 in Iota, Louisiana

Provider Information

NPI Number: 1083931125
Entity Type: Organization
Organization Name: Evergreen Presbyterian Ministries, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 29, 2010
Last Updated: Apr 29, 2010

Practice Location

Address: 530 MCMILLAN AVE
City: Iota
State: Louisiana
ZIP Code: 70543-4704
Phone: (318) 949-5500

Authorized Official

Name: MR. JOHN R TAYLOR
Title: PRESIDENT
Phone: (318) 949-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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