Amanda Rock Community Home
LBN: Evergreen Presbyterian Ministries, Inc.
Amanda Rock Community Home is an health care organization with primary practice located at 301 Knapp St , Leesville LA 71446-3035. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty.
Evergreen Presbyterian Ministries, Inc. can be contacted via phone (318) 949-5500, or through Taylor, John R via phone (318) 949-5500.
Contact Information
Primary practice address
301 Knapp St
Leesville LA 71446-3035
Phone: (318) 949-5500
Fax: (318) 949-5555
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | APPLIED FOR | Louisiana |
Profile Details
| NPI number | 1457678591 |
|---|---|
| LBN Legal business name | Evergreen Presbyterian Ministries, Inc. |
| DBA Doing business as | Amanda Rock Community Home |
| Authorized official | Taylor, John R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Apr 29th, 2010 |
| Last updated | Apr 29th, 2010 - about 15 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1457678591 | NPPES |
| Louisiana | MEDICAID | APPLIED FOR |
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