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.
Address 1205 Wendell Way, Garland, Texas
Phone Number 9723030198
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 1063559219
Provider Enumeration Date 2007-01-30
Last Updated Date 2008-06-17

Provider Mailing Address Detail

Address 1205 Wendell Way
City Garland
State Texas (TX)
Post Code 7504317140
Phone Number 9723030198
Fax Number

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
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
781201 TX --

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FAQs about Evergreen Presbyterian Ministries Of Texas, Inc.

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.

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