OrganizationActive
Evergreen Presbyterian Ministries, Inc.
NPI 1972658623 · Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Lake Charles, LA
Provider details
- NPI number
- 1972658623
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- John Taylor, President(318) 949-5500
- License
- SIL 2548 (LA)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Community Based Residential Treatment FacilityPrimary320900000XLicense SIL 2548 (LA)
Residential Treatment Facilities
Practice location
1146 Hodges St
Lake Charles, LA 70601-5216
Phone: (337) 433-9495
Approximate (ZIP-level) locationGet directions
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Other names (DBA / former)
- Doing business as
- Evergreen Supported Living Program-Swla
Registry dates
- Enumerated
- 2007-01-24
- Last updated
- 2008-06-13
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.