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Evergree Presbyterian Ministries, Inc.

Organization Active NPI Intellectual and/or Developmental Disabilities Residential Treatment Facility · Hammond, LA

NPI 1124418348 · NPPES record last updated Jan 26, 2015

Key facts

NPI
1124418348
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Legal business name
EVERGREE PRESBYTERIAN MINISTRIES, INC.
Practice address
43488 Klein Road
Hammond, LA 70403
Phone
(318) 949-5500
Fax
(318) 949-5555
NPI assigned
Jan 26, 2015
Organization subpart
No

Authorized official

Name
Kent Craft
Title
Executive VP/Cfo
Phone
(318) 949-5500

Corporate family (same tax ID) 23

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
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X Yes

Addresses

Primary practice location

43488 Klein Road
Hammond, LA 70403

Mailing address

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

Other providers in Hammond, LA

All providers in Hammond, LA · Intellectual and/or Developmental Disabilities Residential Treatment Facility in Louisiana

Sources for this page

Verify at the official NPI Registry.