Organization
EVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC.
Active
Other names
Island View Community Home
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN R TAYLOR (PRESIDENT)
(318) 949-5500
Entity
Organization
Contact information
Practice address
1901 ISLAND VIEW DR, MESQUITE, TX 75149-5425
(972) 285-1061
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
117651
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1001612
—
TX
Enumeration date
01/31/2007
Last updated
06/17/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us