Organization
EVERGREEN PRESBYTERIAN MINISTRIES OF WEST TN
Active
Other names
Evergreen Presbyterian Ministries, Inc.
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R TAYLOR (PRESIDENT)
(318) 742-8440
Entity
Organization
Contact information
Practice address
5154 STAGE RD, SUITE 100, MEMPHIS, TN 38134-3118
(901) 381-9370
(901) 381-9368
Mailing address
2101 HIGHWAY 80, HAUGHTON, LA 71037-9488
(318) 742-8440
(318) 752-5448
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00E21
—
TN
Enumeration date
03/26/2007
Last updated
08/22/2020
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