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EVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS INC. NPI 1588737159


NPI Information

NPI: 1588737159
Provider Name: EVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC.
Classification: Intermediate Care Facility, Intellectual Disabilities - 315P00000X
Entity Type: Organization
Address:
10810 SANDEN DR
DALLAS, TX
ZIP 75238
Phone: (972) 386-4834
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EVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC. is an intermediate care facility mentally retarded in Dallas, TX. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. EVERGREEN PRESBYTERIAN MINISTRIES OF TEXAS, INC. NPI is 1588737159. The provider is registered as an organization entity type.

The provider's business location address is:

10810 SANDEN DR
DALLAS, TX
ZIP 75238-337
Phone: (972) 386-4834
Fax: (972) 386-9506

The provider's authorized official is John R. Taylor .
The authorized official title is President and has the following contact phone number (318) 742-8440.

The enumeration date for this NPI number is 11/15/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1315P00000XIntermediate Care Facility, Intellectual DisabilitiesYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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