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  2. Intellectual Disabilities Intermediate Care Facility
  3. Louisiana
  4. Alexandria
  5. Evergreen Presbyterian Ministries, Inc.
Organization

Evergreen Presbyterian Ministries, Inc.

May also be knows as Prescott Road Community Home

Intellectual Disabilities Intermediate Care Facility in Alexandria, LA(View on Map)

Legal Business Name

Evergreen Presbyterian Ministries, Inc.

Also Known As

Prescott Road Community Home

NPI Number

1427102227

NPI Type

Organization

Enumeration Date

01/22/2007

Specialties

(Taxonomies)

Name

Intellectual Disabilities Intermediate Care Facility

Code

315P00000X

Primary Taxonomy

Yes

Licenses

State

Louisiana

License Number

542

Contact
Information

Purpose

Mailing
Location

Address

2101 HIGHWAY 80
3705 PRESCOTT RD

City

Haughton
Alexandria

State

LA
LA

Postal Code

71037-9488
71301-3730

Country

US
US

Telephone Number

(318) 949-5500
(318) 473-9991

Authorized Official

Name

John Taylor

Title or Position

PRESIDENT

Telephone Number

(318) 949-5500

Identifiers

Identifier

1717878

Identifier State

LA

Identifier Issuer

Unknown

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 06/12/2008

Provider Address

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Organization

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