Organization · Type 2 NPI

Evergreen Presbyterian Ministries of Texas, Inc.

Intellectual Disabilities Intermediate Care Facility · Longview, TX

NPI number 1174669121 Active

Practice location

1205 Stone Trail St
Longview, TX 75604-3533

Call (903) 693-8221 Map

Mailing address

2101 Highway 80
Haughton, LA 71037-9488

Specialties and licenses

TaxonomyCodeLicense
Intellectual Disabilities Intermediate Care Facility Primary 315P00000X115892 (TX)

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

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About NPI 1174669121

Evergreen Presbyterian Ministries of Texas, Inc.'s National Provider Identifier is 1174669121, issued on Jan 29, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Longview, TX. The record was last updated on Jul 15, 2009.