Organization · Type 2 NPI
Evergreen Presbyterian Ministries of Texas, Inc.
Intellectual Disabilities Intermediate Care Facility · Atlanta, TX
NPI number
1174669105
Active
Practice location
1313 Choctaw Dr
Atlanta, TX 75551-3006
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 115018 (TX) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Atlanta
About NPI 1174669105
Evergreen Presbyterian Ministries of Texas, Inc.'s National Provider Identifier is 1174669105, issued on Jan 29, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Atlanta, TX. The record was last updated on Jun 16, 2008.