Evergreen Supported Employment-Cla

LBN: Evergreen Presbyterian Ministries, Inc.
Evergreen Supported Employment-Cla is an health care organization with primary practice located at 920 Main St , Pineville LA 71360-6408. The organization recently has only one registered license in Agencies / Day Training, Developmentally Disabled Services, which is considered as the primary health care specialty. Evergreen Presbyterian Ministries, Inc. can be contacted via phone (318) 445-4470, or through Taylor, John R via phone (318) 949-5500.

Contact Information

Primary practice address
920 Main St Pineville LA 71360-6408
Phone: (318) 445-4470
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Taylor, John R
Phone: (318) 949-5500

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X ADC 2403 Louisiana

Profile Details

NPI number 1508910811
LBN Legal business name Evergreen Presbyterian Ministries, Inc.
DBA Doing business as Evergreen Supported Employment-Cla
Authorized official Taylor, John R
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Jun 12th, 2008 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1508910811 NPPES
Louisiana MEDICAID 1910368

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