Evergreen Presbyterian Ministries Of Texas, Inc. in Texarkana - Intermediate Care Facility, Intellectual Disabilities
Evergreen Presbyterian Ministries Of Texas, Inc. - NPI 1689710766
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 1689710766. The last update date is 2008-06-17.
Evergreen Presbyterian Ministries Of Texas, Inc.'s current location address is 106 Maryland Dr, Texarkana, Texas. You can contact this provider via phone number 9038314967. The mailing address for Evergreen Presbyterian Ministries Of Texas, Inc. is 106 Maryland Dr, Texarkana, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Presbyterian Ministries Of Texas, Inc. |
|---|---|
| Address | 106 Maryland Dr, Texarkana, Texas |
| Phone Number | 9038314967 |
| 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 | 1689710766 |
|---|---|
| Provider Enumeration Date | 2007-01-29 |
| Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
| Address | 106 Maryland Dr |
|---|---|
| City | Texarkana |
| State | Texas (TX) |
| Post Code | 7550195350 |
| Phone Number | 9038314967 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Intermediate Care Facility, Intellectual Disabilities |
|---|---|
| Taxonomy | 315P00000X |
| Licence No | 116064 |
|
Definition: An intermediate care facility providing services for individuals with intellectual disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 363701 | TX | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Evergreen Presbyterian Ministries Of Texas, Inc. by the Centers for Medicare & Medicaid Services?
The Evergreen Presbyterian Ministries Of Texas, Inc. has been issued the NPI (National Provider Identifier) 1689710766 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
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: 106 Maryland Dr, Texarkana, TX, 7550195350.
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 1689710766 assignment from the Centers for Medicare & Medicaid Services?
The Evergreen Presbyterian Ministries Of Texas, Inc. was assigned its 1689710766 by the Centers for Medicare & Medicaid Services on 2007-01-29.
As of what date were the details related to Evergreen Presbyterian Ministries Of Texas, Inc. most recently updated or revised?
The information pertaining to Evergreen Presbyterian Ministries Of Texas, Inc., including its address, specialty, and other relevant details, was last updated or revised on 2008-06-17.