Organization · Type 2 NPI
Evergreen Presbyterian Ministries of Texas, Inc.
Intellectual Disabilities Intermediate Care Facility · Texarkana, TX
NPI number
1245376763
Active
Practice location
3002 Fortune Ave
Texarkana, TX 75503-1561
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 116558 (TX) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1245376763
Evergreen Presbyterian Ministries of Texas, Inc.'s National Provider Identifier is 1245376763, issued on Jan 30, 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.