Organization
EVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R. TAYLOR (PRESIDENT)
(318) 742-8440
Entity
Organization
Contact information
Practice address
10810 SANDEN DR, DALLAS, TX 75238-1337
(972) 386-4834
(972) 386-9506
Mailing address
PO BOX 72360, BOSSIER CITY, LA 71172-2360
(318) 742-8440
(318) 752-5459
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
11/15/2006
Last updated
08/22/2020
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