Evergreen Supported Employment-Nwla
LBN: Evergreen Presbyterian Ministries, Inc.
Evergreen Supported Employment-Nwla is an health care organization with primary practice located at 3907 Shed Rd , Bossier City LA 71111-5214. 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) 747-9855, or through Taylor, John R via phone (318) 949-5500.
Contact Information
Primary practice address
3907 Shed Rd
Bossier City LA 71111-5214
Phone: (318) 747-9855
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 320900000X | SIL 4606 | Louisiana |
Profile Details
| NPI number | 1922147222 |
|---|---|
| LBN Legal business name | Evergreen Presbyterian Ministries, Inc. |
| DBA Doing business as | Evergreen Supported Employment-Nwla |
| Authorized official | Taylor, John R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 5th, 2007 |
| Last updated | Jun 12th, 2008 - about 17 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 | 1922147222 | NPPES |
| Louisiana | MEDICAID | 1654175 |
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