EVERGREEN PRESBYTERIAN MINISTRIES INC. NPI 1801941752

NPI Information

EVERGREEN PRESBYTERIAN MINISTRIES, INC. is an intermediate care facility mentally retarded in Lake Charles, LA. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. EVERGREEN PRESBYTERIAN MINISTRIES, INC. NPI is 1801941752. The provider is registered as an organization entity type.
The provider Is Doing Business As Winnie Street Community Home.

The provider's business location address is:

2119 WINNIE ST
LAKE CHARLES, LA
ZIP 70601-175
Phone: (337) 436-1716

The provider's authorized official is John R Taylor .
The authorized official title is President and has the following contact phone number (318) 949-5500.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 6/13/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

Other Identifiers

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