institution
Evergreen Presbyterian Ministries Of Texas, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Texarkana, Texas
NPI 1053450270

Evergreen Presbyterian Ministries Of Texas, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Haughton, TX. Evergreen Presbyterian Ministries Of Texas, Inc. practices in Texarkana, TX. The NPI Number for Evergreen Presbyterian Ministries Of Texas, Inc. is 1053450270 and holds a License No. 001007660 (Texas).

The current practice location address for Evergreen Presbyterian Ministries Of Texas, Inc. is 1319 Magnolia St, Texarkana, TX and can be reached out via phone at 903-794-0517.

Location: 1319 Magnolia St, Texarkana, TX, 71037-9488
institution
Provider Profile Details
NPI Number
1053450270
Provider Name
Evergreen Presbyterian Ministries Of Texas, Inc.
Credential
Provider Entity Type
Organization
Address
1319 Magnolia St, Texarkana, TX, 71037-9488
Phone Number
903-794-0517
Fax Number
Provider Enumeration Date
02/05/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
001007660 05 TX
institution
Provider Business Practice Location Address Details
Address
1319 Magnolia St
City
State
Zip
75501-4440
Phone Number
903-794-0517
Fax Number
person
Provider Business Mailing Address Details
Address
1319 Magnolia St
City
State
Zip
75501-4440
Phone Number
903-794-0517
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
001007660 (Texas)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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