Organization · Type 2 NPI
Evergreen Presbyterian Ministries of Texas, Inc.
Intellectual Disabilities Intermediate Care Facility · Nash, TX
NPI number
1912043084
Active
Practice location
113 Northwood St
Nash, TX 75569-3025
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 116549 (TX) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
About NPI 1912043084
Evergreen Presbyterian Ministries of Texas, Inc.'s National Provider Identifier is 1912043084, issued on Jan 29, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Nash, TX. The record was last updated on Jun 16, 2008.