Nwla Day Habilitation Waiver

LBN: Evergreen Presbyterian Ministries, Inc.
Nwla Day Habilitation Waiver 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 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) 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:
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 2370 Louisiana

Profile Details

NPI number 1932248325
LBN Legal business name Evergreen Presbyterian Ministries, Inc.
DBA Doing business as Nwla Day Habilitation Waiver
Authorized official Taylor, John R
Entity Organization
Organization subpart 1 No
Enumeration date Feb 5th, 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 1932248325 NPPES
Louisiana MEDICAID 1653497

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