Evergreen Presbyterian Ministries of Texas, Inc.

NPI #1174669121 in Longview, Texas

Provider Information

NPI Number
1174669121
Entity Type
Organization
Organization Name
Evergreen Presbyterian Ministries of Texas, Inc.
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Jan 29, 2007
Last Updated
Jul 15, 2009

Practice Location

Address
1205 STONE TRAIL ST
State
Texas
ZIP Code
75604-3533
Phone
(903) 693-8221

Authorized Official

Name
JOHN R TAYLOR
Title
PRESIDENT
Phone
(318) 949-5500

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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