Organization · Type 2 NPI
Evergreen Presbyterian Ministries of Texas, Inc.
Intellectual Disabilities Intermediate Care Facility · Garland, TX
NPI number
1932246956
Active
Practice location
530 Pebblecreek Dr
Garland, TX 75040-3605
Mailing address
2101 Highway 80
Haughton, LA 71037-9488
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 117343 (TX) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1932246956
Evergreen Presbyterian Ministries of Texas, Inc.'s National Provider Identifier is 1932246956, issued on Jan 31, 2007. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Garland, TX. The record was last updated on Jun 17, 2008.