Organization
EVERGREEN PRESBYTERIAN MINISTRIES, INC.
Active
Other names
NCLA Community Services-SIL
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R TAYLOR (PRESIDENT)
(318) 949-5500
Entity
Organization
Contact information
Practice address
1412 SIBLEY RD, MINDEN, LA 71055-5138
(318) 371-1961
Mailing address
2101 HIGHWAY 80, HAUGHTON, LA 71037-9488
(318) 949-5500
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
SIL 2858
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1683248
—
LA
Enumeration date
01/24/2007
Last updated
06/16/2008
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