NPI 1174669121

Evergreen Presbyterian Ministries of Texas, INC.

Organisation Intellectual Disabilities Intermediate Care Facility Longview, TX

Practice location

Address: 1205 Stone Trail St, Longview, TX 75604-3533
Phone: (903) 693-8221
Mailing address: 2101 Highway 80, Haughton, LA 71037-9488

Authorised official

Name: John R Taylor
Title: President
Phone: (318) 949-5500

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 115892 (TX)

Other Intermediate Care Facility, Intellectual Disabilities providers in Texas →

Registry record

NPI: 1174669121
Entity type: Organization
NPI issued: 29 Jan 2007
Record last updated: 15 Jul 2009

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.