Evergreen Presbyterian Ministries Of Texas, Inc. in Dallas - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Evergreen Presbyterian Ministries Of Texas, Inc. - NPI 1811036031
Evergreen Presbyterian Ministries Of Texas, Inc. is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Dallas, Texas. Evergreen Presbyterian Ministries Of Texas, Inc. practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Evergreen Presbyterian Ministries Of Texas, Inc. is 1811036031. The last update date is 2008-06-17.
Evergreen Presbyterian Ministries Of Texas, Inc.'s current location address is 10810 Sanden Dr, Dallas, Texas. You can contact this provider via phone number 9723864834. The mailing address for Evergreen Presbyterian Ministries Of Texas, Inc. is 10810 Sanden Dr, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Presbyterian Ministries Of Texas, Inc. |
|---|---|
| Address | 10810 Sanden Dr, Dallas, Texas |
| Phone Number | 9723864834 |
| 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 | 1811036031 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2008-06-17 |
Provider Mailing Address Detail
| Address | 10810 Sanden Dr |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752381337 |
| Phone Number | 9723864834 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
| Licence No | 1007659 |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1007659 | TX | -- |
Post Comment/ Review Below
What is the unique identification 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) 1811036031. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Evergreen Presbyterian Ministries Of Texas, Inc. is physically located?
The Evergreen Presbyterian Ministries Of Texas, Inc. is situated at the following address: 10810 Sanden Dr, Dallas, TX 752381337.
What is Evergreen Presbyterian Ministries Of Texas, Inc.'s area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Evergreen Presbyterian Ministries Of Texas, Inc. is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that categorizes this field of expertise is 320900000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1811036031 to Evergreen Presbyterian Ministries Of Texas, Inc.?
The Evergreen Presbyterian Ministries Of Texas, Inc. received its 1811036031 assignment from the Centers for Medicare & Medicaid Services on 2007-02-05.
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 2008-06-17.
NPI Number: 1902809924
Address: 2400 W Main St, Rock Hill, SC