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Golden Triangle Living Centers Inc
Intellectual Disabilities Intermediate Care Facility in Port Arthur, Texas
NPI 1164536082

Golden Triangle Living Centers Inc is a Intellectual Disabilities Intermediate Care Facility based in Beaumont, TX. Golden Triangle Living Centers Inc practices in Port Arthur, TX. The NPI Number for Golden Triangle Living Centers Inc is 1164536082 and holds a License No. 116213 (Texas).

The current practice location address for Golden Triangle Living Centers Inc is 411 5Th Avenue, Port Arthur, TX and can be reached out via phone at 409-985-4774 and via fax at 409-832-8044.

Location: 411 5Th Avenue, Port Arthur, TX, 77701-7912
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1164536082
Provider Name
Golden Triangle Living Centers Inc
Credential
Provider Entity Type
Organization
Address
411 5Th Avenue, Port Arthur, TX, 77701-7912
Phone Number
409-985-4774
Fax Number
409-832-8044
Provider Enumeration Date
08/18/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
45H125 05 TX
institution
Provider Business Practice Location Address Details
Address
411 5Th Avenue
City
Port Arthur
State
Texas
Zip
77642
Phone Number
409-985-4774
Fax Number
409-832-8044
person
Provider Business Mailing Address Details
Address
411 5Th Avenue
City
Port Arthur
State
Texas
Zip
77642
Phone Number
409-985-4774
Fax Number
409-832-8044
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
116213 (Texas)
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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