Organization · Type 2 NPI
Evergreen Presbyterian Ministries of Texas, Inc.
Intellectual Disabilities Intermediate Care Facility · Beckville, TX
NPI number
1386780344
Active
Practice location
2944 Marshall Rd
Beckville, TX 75631-3407
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 116890 (TX) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1386780344
Evergreen Presbyterian Ministries of Texas, Inc.'s National Provider Identifier is 1386780344, issued on Jan 29, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Beckville, TX. The record was last updated on Jun 16, 2008.