NPI 1104965409

Evergreen Presbyterian Ministries, INC.

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

Practice location

Address: 3907 Shed Rd, Bossier City, LA 71111-5214
Phone: (318) 747-9855
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 and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X Licence SIL 4606 (LA)

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

Registry record

NPI: 1104965409
Entity type: Organization
NPI issued: 5 Feb 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.