Organization · Type 2 NPI

Evergreen Presbyterian Ministries of Texas, Inc.

Intellectual Disabilities Intermediate Care Facility · Texarkana, TX

NPI number 1043356009 Active

Practice location

1302 Wood St
Texarkana, TX 75501-4472

Call (903) 794-0517 Map

Mailing address

2101 Highway 80
Haughton, LA 71037-9488

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X118062 (TX)

Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.

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About NPI 1043356009

Evergreen Presbyterian Ministries of Texas, Inc.'s National Provider Identifier is 1043356009, issued on Jan 29, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Texarkana, TX. The record was last updated on Dec 13, 2024.