Organization
EVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC.
Active
Other names
Evergreen Arkansas Waiver Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN R TAYLOR (PRESIDENT)
(318) 949-5500
Entity
Organization
Contact information
Practice address
1319 MAGNOLIA ST, TEXARKANA, TX 75501-4440
(903) 794-0517
(903) 792-1861
Mailing address
2101 HIGHWAY 80, HAUGHTON, LA 71037-9488
(318) 949-5500
(318) 949-5555
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
129758774
—
AR
Enumeration date
09/24/2007
Last updated
06/16/2008
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