Evergreen Presbyterian Ministries, Inc.

Organization Active NPI Developmentally Disabled Services Day Training Agency · Vinton, LA

NPI 1124366539 · NPPES record last updated Jan 18, 2013

Key facts

NPI
1124366539
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
License
6705 (LA)
Legal business name
EVERGREEN PRESBYTERIAN MINISTRIES, INC.
Practice address
1340 Horridge St
Vinton, LA 70668-4532
Phone
(318) 949-5500
Fax
(318) 949-5555
NPI assigned
Jan 18, 2013
Organization subpart
No

Authorized official

Name
Mr. Merlon K Craft
Title
Executive Vice President / Cfo
Phone
(318) 949-5500

Corporate family (same tax ID) 22

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Evergreen Ok Ther Leave Vocational Support (120 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X 6705 LA Yes

Addresses

Primary practice location

1340 Horridge St
Vinton, LA 70668-4532

Mailing address

2101 Highway 80
Haughton, LA 71037-9488
Phone (318) 949-5500

Other identifiers

IdentifierTypeStateIssuer
1039161MedicaidLA

Other providers in Vinton, LA

All providers in Vinton, LA · Developmentally Disabled Services Day Training Agency in Louisiana

Sources for this page

Verify at the official NPI Registry.