# EVERGREEN PRESBYTERIAN MINISTRIES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124456959
- **Authorized official:** MERLON K CRAFT (EXECUTIVE VICE PRESIDENT)
- **Authorized official phone:** (318) 949-5500

## Contact information

- **Practice address:** 1213 SOUTH ST, VINTON, LA 70668-4509
- **Practice address phone:** (318) 949-5500
- **Practice address fax:** (318) 949-5555
- **Mailing address:** 2101 HIGHWAY 80, HAUGHTON, LA 71037-9488
- **Mailing address phone:** (318) 949-5500
- **Mailing address fax:** (318) 949-5555

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/14/2013
- **Last updated:** 10/14/2013