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Evergreen Presbyterian Ministries, Inc.

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

NPI 1679900476 · NPPES record last updated Oct 11, 2013

Key facts

NPI
1679900476
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
2108 Division Street
Sulphur, LA 70663
Phone
(318) 949-5500
Fax
(318) 949-5555
NPI assigned
Oct 11, 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

2108 Division Street
Sulphur, LA 70663

Mailing address

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

Other providers in Sulphur, LA

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

Sources for this page

Verify at the official NPI Registry.