Organization
EVERGREEN PRESBYTERIAN MINISTRIES OF EAST 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
1304 WILSON RD, SUITE 105, KNOXVILLE, TN 37912-5693
(865) 689-4022
(865) 689-4054
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
—
00678
—
TN
Enumeration date
03/26/2007
Last updated
08/22/2020
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