NPI 1063560621

Evergreen Presbyterian Ministries, INC.

Organisation Intellectual Disabilities Intermediate Care Facility Haughton, LA

Practice location

Address: 203 Espanita Blvd, Haughton, LA 71037-5903
Phone: (318) 742-8440
Mailing address: 2101 Highway 80, Haughton, LA 71037-9488

Authorised official

Name: Douglas Ryland
Title: Regional Vice-President
Phone: (318) 949-5500

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 472 (LA)

Other Intermediate Care Facility, Intellectual Disabilities providers in Louisiana →

Registry record

NPI: 1063560621
Entity type: Organization
NPI issued: 8 Jan 2007
Record last updated: 27 May 2025

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.