NPI 1144573619

Evergreen Presbyterian Ministries, INC.

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

Practice location

Address: 1223 Fancher St, Vinton, LA 70668-4319
Phone: (318) 949-5500
Fax: (318) 949-5555
Mailing address: 2101 Highway 80, Haughton, LA 71037-9488

Authorised official

Name: Merlon Kent Craft
Title: Cfo
Phone: (318) 949-5500

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X Licence 2203781165 (LA)

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

Registry record

NPI: 1144573619
Entity type: Organization
NPI issued: 22 Oct 2012
Record last updated: 22 Oct 2012

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.