| NPI | 1215127071 |
|---|---|
| Doing Business As | EVERGREEN SUPPORTED EMPLOYMENT-SWLA |
| Entity Type | Organization |
| Authorized Contact | JOHN R TAYLOR President 318-949-5500 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251C00000X Day Training, Developmentally Disabled Services (Licence: LA ADC 2533) |
| Enumeration Date | 2007-07-27 |
| Last Update Date | 2008-06-13 |