Evergreen Presbyterian Ministries, Inc.

NPI 1043368442 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1043368442
Enumeration Date 01/08/2007
Last Updated 06/12/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHN R JOHN
Position PRESIDENT
Phone (318) 949-5022
Fax
Practice Location
429 S ELM ST
HAUGHTON LA, 71037-9684, US
Phone (318) 949-5022
Fax
Business Location
2101 HIGHWAY 80
HAUGHTON LA, 71037-9488, US
Phone (318) 949-5500
Fax
Toxanomy
Taxonomy Code 315P00000X
License State Louisiana
License Number 713
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According to our database, Evergreen Presbyterian Ministries, Inc. NPI is 1043368442, taxonomy code is 315P00000X and license number is 713, license state is located at Louisiana. Evergreen Presbyterian Ministries, Inc. physically located at 429 S Elm St, Haughton LA, 71037-9684. NPI Number 1033115704 has the healthcare provider type.

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1043368442 NPI number is provided on an as is basis without warranty of any kind. 1043368442 is maintained by the National Plan & Provider Enumeration System. The contents of Evergreen Presbyterian Ministries, Inc. are for informational purposes only.