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Evergreen Presbyterian Ministries, Inc.

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

NPI 1124456959 · NPPES record last updated Oct 14, 2013

Key facts

NPI
1124456959
Entity type
Organization (NPI type 2)
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X
Legal business name
EVERGREEN PRESBYTERIAN MINISTRIES, INC.
Practice address
1213 South St
Vinton, LA 70668-4509
Phone
(318) 949-5500
Fax
(318) 949-5555
NPI assigned
Oct 14, 2013
Organization subpart
No

Authorized official

Name
Merlon K Craft
Title
Executive Vice President
Phone
(318) 949-5500

Corporate family (same tax ID) 24

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

1213 South St
Vinton, LA 70668-4509

Mailing address

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

Other providers in Vinton, LA

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

Sources for this page

Verify at the official NPI Registry.