NPI 1083931125

Evergreen Presbyterian Ministries, INC.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Iota, LA

Practice location

Address: 530 McMillan Ave, Iota, LA 70543-4704
Phone: (318) 949-5500
Fax: (318) 949-5555
Mailing address: 2101 Highway 80, Haughton, LA 71037-9488

Authorised official

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

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence APPLIED FOR (LA)

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

Registry record

NPI: 1083931125
Entity type: Organization
NPI issued: 29 Apr 2010
Record last updated: 29 Apr 2010

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.