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Organization

EVERGREEN PRESBYTERIAN MINISTRIES, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MERLON K CRAFT (EXECUTIVE VICE PRESIDENT / CFO)
(318) 949-5500
Entity
Organization

Contact information

Practice address
1340 HORRIDGE ST, VINTON, LA 70668-4532
(337) 589-1919
(337) 589-6604
Mailing address
2101 HIGHWAY 80, HAUGHTON, LA 71037-9488
(318) 949-5500
(318) 949-5555

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
HC0006705
LA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
HC0006705
LA
Enumeration date
11/27/2012
Last updated
11/27/2012
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