Evergreen Presbyterian Ministries Of Texas, INC.
Intermediate Care Facility, Intellectual Disabilities in Mesquite, TX. Organization (NPI-2).
NPI number1982741997
StatusActive
Last updated in NPPESJun 17, 2008
Details
- NPI
- 1982741997
- Entity type
- Organization (NPI-2)
- Legal business name
- Evergreen Presbyterian Ministries Of Texas, INC.
- Organization subpart
- No
- Enumeration date
- Jan 31, 2007
- Last updated
- Jun 17, 2008
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 117651 | TX | Yes |
Other names
- Island View Community Home (Doing Business As)
Practice location
1901 Island View DrMesquite, TX 75149-5425
Phone 972-285-1061
Mailing address
2101 Highway 80Haughton, LA 71037-9488
Phone 318-949-5500
Authorized official
John R Taylor
President
3189495500
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