Evergreen Presbyterian Ministries Of Texas, Inc., NPI 1689710766
Intellectual Disabilities Intermediate Care Facility in Texarkana, TX, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1689710766
NPI Entity Type Organization
Provider Name Evergreen Presbyterian Ministries Of Texas, Inc.
Doing Business As
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Provider Location Address 106 Maryland Dr, Texarkana, TX, US
Provider Mailing Address 2101 Highway 80, Haughton, LA, US, 710379488
Is Sole Proprietor? No
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Organization Official

Official Name John R Taylor
Official Position PRESIDENT
Phone 318-949-5500

Primary Taxonomy

Taxonomy Code

315P00000X

Taxonomy Name Intellectual Disabilities Intermediate Care Facility
Classification

Intermediate Care Facility, Intellectual Disabilities

Group

Nursing & Custodial Care Facilities

License No. 116064
License State TX
Description An intermediate care facility providing services for individuals with intellectual disabilities.

Other Organization Name

Evergreen Maryland Community Home
Doing Business As

Business Address

Evergreen Presbyterian Ministries Of Texas, Inc.
106 Maryland Dr

Texarkana, TX, US

Phone: 903-831-4967

Mailing Address

Evergreen Presbyterian Ministries Of Texas, Inc.
2101 Highway 80
Haughton, LA, US
ZIP 710379488
Phone: 318-949-5500

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