Organization
EVERGREEN PRESBYTERIAN MINISTRIES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MERLON KENT CRAFT (EXECUTIVE VICE PRESIDENT / CFO)
(318) 949-5515
Entity
Organization
Contact information
Practice address
24345 HARVEY LAVIGNE ROAD, PONCHATOULA, LA 70454
(985) 386-2360
(985) 386-9380
Mailing address
2101 HIGHWAY 80, HAUGHTON, LA 71037-9488
(318) 949-5500
(318) 949-5555
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
06/02/2016
Last updated
06/02/2016
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