EVERGREEN PRESBYTERIAN MINISTRIES INC. NPI 1851445993

NPI Information

EVERGREEN PRESBYTERIAN MINISTRIES, INC. is a community based residential treatment facility, intellectual and/or developmental disabilities in Lake Charles, LA. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. EVERGREEN PRESBYTERIAN MINISTRIES, INC. NPI is 1851445993. The provider is registered as an organization entity type.
The provider Is Doing Business As Evergreen Community Services-swla Pca.

The provider's business location address is:

1146 HODGES ST
LAKE CHARLES, LA
ZIP 70601-216
Phone: (337) 433-9495

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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