NPI 1063530442

Evergreen Presbyterian Ministries of West Tn

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Memphis, TN

Practice location

Address: 5154 Stage Rd Suite 100, Memphis, TN 38134-3118
Phone: (901) 381-9370
Fax: (901) 381-9368
Mailing address: 2101 Highway 80, Haughton, LA 71037-9488

Authorised official

Name: John R Taylor
Title: President
Phone: (318) 742-8440

Registered specialties

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Tennessee →

Registry record

NPI: 1063530442
Entity type: Organization
NPI issued: 26 Mar 2007
Record last updated: 22 Aug 2020

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.