Evergreen Presbyterian Ministries, INC.
Intermediate Care Facility, Intellectual Disabilities in Covington, LA. Organization (NPI-2).
NPI number1003962838
StatusActive
Last updated in NPPESJun 16, 2008
Details
- NPI
- 1003962838
- Entity type
- Organization (NPI-2)
- Legal business name
- Evergreen Presbyterian Ministries, INC.
- Organization subpart
- No
- Enumeration date
- Jan 26, 2007
- Last updated
- Jun 16, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 733 | LA | Yes |
Other names
- River Forest Community Home (Doing Business As)
Practice location
11 Patricia DrCovington, LA 70433-1042
Phone 985-809-7661
Mailing address
2101 Highway 80Haughton, LA 71037-9488
Phone 318-949-5500
Authorized official
John R Taylor
President
3189495500
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