Organization
EVERGREEN PRESBYTERIAN MINISTRIES, INC.
Active
Other names
Fendler Parkway Community Home
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS RYLAND (REGIONAL VICE PRESIDENT)
(318) 949-5515
Entity
Organization
Contact information
Practice address
739 FENDLER PKWY, PINEVILLE, LA 71360-4702
(318) 473-2412
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
501
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1717436
—
LA
Enumeration date
01/22/2007
Last updated
05/30/2025
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