Evergreen Presbyterian Ministries, Inc.

NPI #1952653024 in Vinton, Louisiana

Provider Information

NPI Number: 1952653024
Entity Type: Organization
Organization Name: Evergreen Presbyterian Ministries, Inc.
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Oct 12, 2012
Last Updated: Sep 9, 2022

Practice Location

Address: 1805 PENNY DR
City: Vinton
State: Louisiana
ZIP Code: 70668-4905
Phone: (318) 949-5500

Authorized Official

Name: MR. MERLON K CRAFT
Title: CFO
Phone: (318) 949-5500

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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