Evergreen Presbyterian Ministries Of Texas, Inc. in Kilgore - Intermediate Care Facility, Intellectual Disabilities
Evergreen Presbyterian Ministries Of Texas, Inc. - NPI 1043356009
Evergreen Presbyterian Ministries Of Texas, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Kilgore, Texas. Evergreen Presbyterian Ministries Of Texas, Inc. practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Evergreen Presbyterian Ministries Of Texas, Inc. is 1043356009. The last update date is 2008-06-16.
Evergreen Presbyterian Ministries Of Texas, Inc.'s current location address is 1104 Danville Rd, Kilgore, Texas. You can contact this provider via phone number 9039849370. The mailing address for Evergreen Presbyterian Ministries Of Texas, Inc. is 1104 Danville Rd, Kilgore, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Presbyterian Ministries Of Texas, Inc. |
|---|---|
| Address | 1104 Danville Rd, Kilgore, Texas |
| Phone Number | 9039849370 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Taylor R John |
| Telephone Number | 3189495500 |
NPI Number Detail
| NPI Number | 1043356009 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
| Address | 1104 Danville Rd |
|---|---|
| City | Kilgore |
| State | Texas (TX) |
| Post Code | 7566223640 |
| Phone Number | 9039849370 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 118062 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 722401 | TX | -- |
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What is the Evergreen Presbyterian Ministries Of Texas, Inc.'s 1043356009?
The Evergreen Presbyterian Ministries Of Texas, Inc.'s NPI (National Provider Identifier) Number is 1043356009. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Evergreen Presbyterian Ministries Of Texas, Inc.?
The Evergreen Presbyterian Ministries Of Texas, Inc. is physically situated at 1104 Danville Rd, in the city of Kilgore, state of TX, with the postal code 7566223640.
What is Evergreen Presbyterian Ministries Of Texas, Inc.'s area of expertise and its corresponding taxonomy classification?
The Evergreen Presbyterian Ministries Of Texas, Inc.'s field of specialization is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Evergreen Presbyterian Ministries Of Texas, Inc. receive its 1043356009 assignment from the Centers for Medicare & Medicaid Services?
The Evergreen Presbyterian Ministries Of Texas, Inc. was assigned its 1043356009 by the Centers for Medicare & Medicaid Services on 2007-01-29.
As of what date was the information pertaining to Evergreen Presbyterian Ministries Of Texas, Inc., such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Evergreen Presbyterian Ministries Of Texas, Inc., including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2008-06-16.