NPI 1023164852

Evergreen Presbyterian Ministries, INC.

Organisation Intellectual Disabilities Intermediate Care Facility Mandeville, LA

Practice location

Address: 540 Forest Loop, Mandeville, LA 70471-2636
Phone: (985) 792-0409
Mailing address: 2101 Highway 80, Haughton, LA 71037-9488

Authorised official

Name: John R Taylor
Title: President
Phone: (318) 949-5500

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 734 (LA)

Other Intermediate Care Facility, Intellectual Disabilities providers in Louisiana →

Registry record

NPI: 1023164852
Entity type: Organization
NPI issued: 26 Jan 2007
Record last updated: 16 Jun 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.