Organization
EVERGREEN PRESBYTERIAN MINISTRIES, INC.
Active
Other names
Meadowbrook Community Home
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS RYLAND (PRESIDENT)
(318) 949-5500
Entity
Organization
Contact information
Practice address
319 MEADOWBROOK LN, SHREVEPORT, LA 71105-4315
(318) 429-7516
Mailing address
PO BOX 72360, BOSSIER CITY, LA 71172-2360
(318) 949-5500
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
934
LA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1711241
—
LA
Enumeration date
12/12/2006
Last updated
05/27/2025
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