# EVERGREEN PRESBYTERIAN MINISTRIES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NCLA Community Services-LTPCS
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306991849
- **Authorized official:** JOHN R TAYLOR (PRESIDENT)
- **Authorized official phone:** (318) 949-5500

## Contact information

- **Practice address:** 1412 SIBLEY RD, MINDEN, LA 71055-5138
- **Practice address phone:** (318) 371-1961
- **Mailing address:** 2101 HIGHWAY 80, HAUGHTON, LA 71037-9488
- **Mailing address phone:** (318) 949-5500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 385H00000X | Respite Care | PCA 2856 | LA | Yes |

## Other

- **Enumeration date:** 01/24/2007
- **Last updated:** 06/16/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1621196 | — | LA |