Evergreen Presbyterian Ministries Of Texas, Inc. in Garland - Intermediate Care Facility, Intellectual Disabilities
Evergreen Presbyterian Ministries Of Texas, Inc. - NPI 1063559219
Evergreen Presbyterian Ministries Of Texas, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Garland, 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 1063559219. The last update date is 2008-06-17.
Evergreen Presbyterian Ministries Of Texas, Inc.'s current location address is 1205 Wendell Way, Garland, Texas. You can contact this provider via phone number 9723030198. The mailing address for Evergreen Presbyterian Ministries Of Texas, Inc. is 1205 Wendell Way, Garland, Texas. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Evergreen Presbyterian Ministries Of Texas, Inc. |
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Address | 1205 Wendell Way, Garland, Texas |
Phone Number | 9723030198 |
Fax Number | |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | PRESIDENT |
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Authorized Official Name | Taylor R John |
Telephone Number | 3189495500 |
NPI Number Detail
NPI Number | 1063559219 |
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Provider Enumeration Date | 2007-01-30 |
Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
Address | 1205 Wendell Way |
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City | Garland |
State | Texas (TX) |
Post Code | 7504317140 |
Phone Number | 9723030198 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Intermediate Care Facility, Intellectual Disabilities |
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Taxonomy | 315P00000X |
Licence No | 114575 |
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
Provider's Other Legacy Identifiers
Identifier | Identifier Type | Identifier State | Identifier Issuer |
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781201 | TX | -- |
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What is the unique provider identifier assigned to Evergreen Presbyterian Ministries Of Texas, Inc.?
The Evergreen Presbyterian Ministries Of Texas, Inc. has been issued the NPI (National Provider Identifier) 1063559219 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Evergreen Presbyterian Ministries Of Texas, Inc. located?
The Evergreen Presbyterian Ministries Of Texas, Inc. is located at 1205 Wendell Way, Garland, TX 7504317140.
What is the area of specialization for Evergreen Presbyterian Ministries Of Texas, Inc., and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Evergreen Presbyterian Ministries Of Texas, Inc. is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code that categorizes this area of expertise is 315P00000X.
On what date did the Evergreen Presbyterian Ministries Of Texas, Inc. receive its 1063559219 assignment from the Centers for Medicare & Medicaid Services?
The Evergreen Presbyterian Ministries Of Texas, Inc. was assigned its 1063559219 by the Centers for Medicare & Medicaid Services on 2007-01-30.
When was the information related to Evergreen Presbyterian Ministries Of Texas, Inc. most recently updated or refreshed?
The details pertaining to the Evergreen Presbyterian Ministries Of Texas, Inc., including its address, specialty, and other relevant information, were last updated or refreshed on 2008-06-17.