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Organization
EVERGREEN PRESBYTERIAN MINISTRIES, INC.
Active
Organization
EVERGREEN PRESBYTERIAN MINISTRIES, INC.
Active
Other names
Prescott Road Community Home
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS RYLAND (REGIONAL VICE PRESIDENT)
(318) 949-5500
Entity
Organization
Contact information
Practice address
3705 PRESCOTT RD, ALEXANDRIA, LA 71301-3730
(318) 473-9991
Mailing address
2101 HIGHWAY 80, HAUGHTON, LA 71037-9488
(318) 949-5500
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
542
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1717878
—
LA
Enumeration date
01/22/2007
Last updated
05/30/2025
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