Evergreen Presbyterian Ministries Of Texas, Inc. in Texarkana - Intermediate Care Facility, Intellectual Disabilities
Evergreen Presbyterian Ministries Of Texas, Inc. - NPI 1245376763
Evergreen Presbyterian Ministries Of Texas, Inc. is a Intermediate Care Facility, Intellectual Disabilities in Texarkana, 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 1245376763. The last update date is 2008-06-16.
Evergreen Presbyterian Ministries Of Texas, Inc.'s current location address is 3002 Fortune Ave, Texarkana, Texas. You can contact this provider via phone number 9038385625. The mailing address for Evergreen Presbyterian Ministries Of Texas, Inc. is 3002 Fortune Ave, Texarkana, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Presbyterian Ministries Of Texas, Inc. |
|---|---|
| Address | 3002 Fortune Ave, Texarkana, Texas |
| Phone Number | 9038385625 |
| 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 | 1245376763 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
| Address | 3002 Fortune Ave |
|---|---|
| City | Texarkana |
| State | Texas (TX) |
| Post Code | 7550315610 |
| Phone Number | 9038385625 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 116558 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 724801 | TX | -- |
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What is the Evergreen Presbyterian Ministries Of Texas, Inc.'s 1245376763?
The Evergreen Presbyterian Ministries Of Texas, Inc.'s NPI (National Provider Identifier) Number is 1245376763. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Evergreen Presbyterian Ministries Of Texas, Inc.'s facilities are geographically located?
The facilities of Evergreen Presbyterian Ministries Of Texas, Inc. are physically situated at the following location: 3002 Fortune Ave, Texarkana, TX, 7550315610.
What is the Evergreen Presbyterian Ministries Of Texas, Inc.'s specialty and taxonomy code?
The Evergreen Presbyterian Ministries Of Texas, Inc.'s specialty is Intermediate Care Facility, Intellectual Disabilities, and the corresponding taxonomy code is 315P00000X.
When did Evergreen Presbyterian Ministries Of Texas, Inc. receive its 1245376763 assignment?
The Evergreen Presbyterian Ministries Of Texas, Inc. was assigned its 1245376763 on 2007-01-30, which is the date when this unique identifier was issued to the organization.
When was the information regarding Evergreen Presbyterian Ministries Of Texas, Inc., such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Evergreen Presbyterian Ministries Of Texas, Inc., including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2008-06-16.
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