Organization · Type 2 NPI
Evergreen Presbyterian Ministries of Texas, Inc.
Intellectual Disabilities Intermediate Care Facility · Arlington, TX
NPI number
1306984349
Active
Practice location
7905 Peregrine Trl
Arlington, TX 76001-6137
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 117486 (TX) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1306984349
Evergreen Presbyterian Ministries of Texas, Inc.'s National Provider Identifier is 1306984349, issued on Feb 2, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Arlington, TX. The record was last updated on Jun 17, 2008.