Organization
EVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC.
Active
Other names
Evergreen Spring Hill Community Home
Organization subpart
No
Provider details
NPI number
Authorized official
MERLON KENT CRAFT (EVP/CFO)
(318) 949-5500
Entity
Organization
Contact information
Practice address
225 SYBLE LN, LONGVIEW, TX 75605-9251
(903) 678-3506
Mailing address
2101 HIGHWAY 80, HAUGHTON, LA 71037-9488
(318) 949-5500
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
115862
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000722901
—
TX
Enumeration date
02/02/2007
Last updated
10/07/2023
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