institution
Evergreen Presbyterian Ministries Of Texas, Inc.
Intellectual Disabilities Intermediate Care Facility in Atlanta, Texas
NPI 1174669105

Evergreen Presbyterian Ministries Of Texas, Inc. is a Intellectual Disabilities Intermediate Care Facility based in Haughton, TX. Evergreen Presbyterian Ministries Of Texas, Inc. practices in Atlanta, TX. The NPI Number for Evergreen Presbyterian Ministries Of Texas, Inc. is 1174669105 and holds a License No. 115018 (Texas).

The current practice location address for Evergreen Presbyterian Ministries Of Texas, Inc. is 1313 Choctaw Dr, Atlanta, TX and can be reached out via phone at 903-796-9619.

Location: 1313 Choctaw Dr, Atlanta, TX, 71037-9488
institution
Provider Profile Details
NPI Number
1174669105
Provider Name
Evergreen Presbyterian Ministries Of Texas, Inc.
Credential
Provider Entity Type
Organization
Address
1313 Choctaw Dr, Atlanta, TX, 71037-9488
Phone Number
903-796-9619
Fax Number
Provider Enumeration Date
01/29/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000369901 05 TX
institution
Provider Business Practice Location Address Details
Address
1313 Choctaw Dr
City
State
Zip
75551-3006
Phone Number
903-796-9619
Fax Number
person
Provider Business Mailing Address Details
Address
1313 Choctaw Dr
City
State
Zip
75551-3006
Phone Number
903-796-9619
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
License No.
115018 (Texas)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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