Evergreen Presbyterian Ministries Of Texas, Inc. in Texarkana - Intermediate Care Facility, Intellectual Disabilities
Evergreen Presbyterian Ministries Of Texas, Inc. - NPI 1609912120
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 1609912120. The last update date is 2008-06-16.
Evergreen Presbyterian Ministries Of Texas, Inc.'s current location address is 20 Meadow Ln, Texarkana, Texas. You can contact this provider via phone number 9037922529. The mailing address for Evergreen Presbyterian Ministries Of Texas, Inc. is 20 Meadow Ln, Texarkana, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Presbyterian Ministries Of Texas, Inc. |
|---|---|
| Address | 20 Meadow Ln, Texarkana, Texas |
| Phone Number | 9037922529 |
| 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 | 1609912120 |
|---|---|
| Provider Enumeration Date | 2007-01-30 |
| Last Updated Date | 2008-06-16 |
Provider Mailing Address Detail
| Address | 20 Meadow Ln |
|---|---|
| City | Texarkana |
| State | Texas (TX) |
| Post Code | 7550326800 |
| Phone Number | 9037922529 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 118995 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 363801 | TX | -- |
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What is the Evergreen Presbyterian Ministries Of Texas, Inc.'s 1609912120?
The Evergreen Presbyterian Ministries Of Texas, Inc.'s NPI (National Provider Identifier) Number is 1609912120. 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 street address where Evergreen Presbyterian Ministries Of Texas, Inc. is physically located?
The Evergreen Presbyterian Ministries Of Texas, Inc. is physically situated at the following address: 20 Meadow Ln, Texarkana, TX, 7550326800.
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.
On what date did the Evergreen Presbyterian Ministries Of Texas, Inc. receive the assignment of its 1609912120 from the Centers for Medicare & Medicaid Services?
The Evergreen Presbyterian Ministries Of Texas, Inc. was issued its 1609912120 by the Centers for Medicare & Medicaid Services on 2007-01-30.
As of what date were the Evergreen Presbyterian Ministries Of Texas, Inc.'s details last updated?
The information pertaining to the Evergreen Presbyterian Ministries Of Texas, Inc., including its address, specialty, and other details, was most recently updated on 2008-06-16.
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