EVERGREEN LIFE SERVICES
NPI 1073976171
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Texarkana, TX
About Evergreen Life Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERGREEN LIFE SERVICES (NPI 1073976171) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Texarkana, Texas and active in the NPI registry since April 2016. The organization lists Merlon Kent Craft, Executive Vice President / Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Providers at the Same Location NPPES 2
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
TEXARKANA, TX 75501
TEXARKANA, TX 75501
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Evergreen Presbyterian Ministries Of Texas, Inc.'s NPI number?
The NPI number for Evergreen Presbyterian Ministries Of Texas, Inc. is 1073976171. It was assigned to this organization in the NPPES registry on April 5, 2016. The provider is doing business as Evergreen Life Services.
Where is Evergreen Presbyterian Ministries Of Texas, Inc. located?
Evergreen Presbyterian Ministries Of Texas, Inc. is located at 1319 Magnolia St, Texarkana, TX 75501. The listed phone number is (903) 794-0517.
What is Evergreen Presbyterian Ministries Of Texas, Inc.'s specialty?
The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.
When was this NPI record last updated?
The NPPES record for Evergreen Presbyterian Ministries Of Texas, Inc. was last updated on April 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Evergreen Life Services · NPI 1073976171
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities organization in Texarkana, Texas. Organization record, active in the CMS NPPES registry since April 5, 2016.
## Identity
- **NPI:** 1073976171 (Entity type: Organization)
- **Enumerated:** April 5, 2016
- **Primary specialty:** Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities · taxonomy 320900000X
- **Legal business name:** Evergreen Presbyterian Ministries Of Texas, Inc.
- **Organization subpart:** No
- **Authorized official:** Merlon Craft, EXECUTIVE VICE PRESIDENT / CFO
## Practice location
- **Address:** 1319 MAGNOLIA ST, Texarkana, TX 75501-4440
- **Phone:** (903) 794-0517
## Record status
- **NPPES last updated:** April 5, 2016
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Source: [NPI Profile](https://npiprofile.com/npi/1073976171) · Data from the CMS NPPES public registry.