Whalio Doctors

NPI 1023156726

Evergreen Presbyterian Ministries of Texas, INC.

Organisation Intellectual Disabilities Intermediate Care Facility Longview, TX

Practice location

Address
225 Syble Ln, Longview, TX 75605-9251
Phone
(903) 678-3506
Mailing address
2101 Highway 80, Haughton, LA 71037-9488

Authorised official

Name
Merlon Kent Craft
Title
Evp/Cfo
Phone
(318) 949-5500

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 115862 (TX)

Registry record

NPI
1023156726
Entity type
Organization
NPI issued
2 Feb 2007
Record last updated
7 Oct 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.