Evergreen Supported Living Program-Swla
LBN: Evergreen Presbyterian Ministries, Inc.
Evergreen Supported Living Program-Swla is an health care organization with primary practice located at 1146 Hodges St , Lake Charles LA 70601-5216. 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 (337) 433-9495, or through Taylor, John R via phone (318) 949-5500.
Contact Information
Primary practice address
1146 Hodges St
Lake Charles LA 70601-5216
Phone: (337) 433-9495
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 2548 | Louisiana |
Profile Details
| NPI number | 1972658623 |
|---|---|
| LBN Legal business name | Evergreen Presbyterian Ministries, Inc. |
| DBA Doing business as | Evergreen Supported Living Program-Swla |
| Authorized official | Taylor, John R |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Jan 24th, 2007 |
| Last updated | Jun 13th, 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 | 1972658623 | NPPES |
| Louisiana | MEDICAID | 1925624 |
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