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Evergreen Presbyterian Ministries Of Texas, Inc.
Intellectual Disabilities Intermediate Care Facility in Texarkana, Texas
NPI 1336285857

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 Texarkana, TX. The NPI Number for Evergreen Presbyterian Ministries Of Texas, Inc. is 1336285857 and holds a License No. 115298 (Texas).

The current practice location address for Evergreen Presbyterian Ministries Of Texas, Inc. is 3611 Moores Ln, Texarkana, TX and can be reached out via phone at 903-832-2682.

Location: 3611 Moores Ln, Texarkana, TX, 71037-9488
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1336285857
Provider Name
Evergreen Presbyterian Ministries Of Texas, Inc.
Credential
Provider Entity Type
Organization
Address
3611 Moores Ln, Texarkana, TX, 71037-9488
Phone Number
903-832-2682
Fax Number
Provider Enumeration Date
01/30/2007
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
000720301 05 TX
institution
Provider Business Practice Location Address Details
Address
3611 Moores Ln
City
Texarkana
State
Texas
Zip
75503-2214
Phone Number
903-832-2682
Fax Number
person
Provider Business Mailing Address Details
Address
3611 Moores Ln
City
Texarkana
State
Texas
Zip
75503-2214
Phone Number
903-832-2682
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
115298 (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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