Organization · Type 2 NPI

Evergreen Presbyterian Ministries of Texas, Inc.

Intellectual Disabilities Intermediate Care Facility · Texarkana, TX

NPI number 1063558138 Active

Practice location

3312 Cooper Ln
Texarkana, TX 75503-0025

Call (903) 831-4632 Map

Mailing address

2101 Highway 80
Haughton, LA 71037-9488

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X115404 (TX)

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

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About NPI 1063558138

Evergreen Presbyterian Ministries of Texas, Inc.'s National Provider Identifier is 1063558138, 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 Jun 16, 2008.