Evergreen Presbyterian Ministries Of Texas, Inc.

NPI 1043356009 - Intermediate Care Facility, Mentally Retarded - 315P00000X

NPI Details
NPI 1043356009
Enumeration Date 01/29/2007
Last Updated 06/16/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name JOHN R JOHN
Position PRESIDENT
Phone (903) 984-9370
Fax
Practice Location
1104 DANVILLE RD
KILGORE TX, 75662-2364, US
Phone (903) 984-9370
Fax
Business Location
2101 HIGHWAY 80
HAUGHTON LA, 71037-9488, US
Phone (318) 949-5500
Fax
Toxanomy
Taxonomy Code 315P00000X
License State Texas
License Number 118062
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According to our database, Evergreen Presbyterian Ministries Of Texas, Inc. NPI is 1043356009, taxonomy code is 315P00000X and license number is 118062, license state is located at Texas. Evergreen Presbyterian Ministries Of Texas, Inc. physically located at 1104 Danville Rd, Kilgore TX, 75662-2364. NPI Number 1033115704 has the healthcare provider type.

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1043356009 NPI number is provided on an as is basis without warranty of any kind. 1043356009 is maintained by the National Plan & Provider Enumeration System. The contents of Evergreen Presbyterian Ministries Of Texas, Inc. are for informational purposes only.