institution
Pelican Assisted Living Llc
Assisted Living Facility in Beaumont, Texas
NPI 1861767832

Pelican Assisted Living Llc is an Assisted Living Facility based in Groves, TX. Pelican Assisted Living Llc practices in Beaumont, TX. The NPI Number for Pelican Assisted Living Llc is 1861767832 and holds a License No. (Texas).

The current practice location address for Pelican Assisted Living Llc is 2501 S Major Dr, Beaumont, TX and can be reached out via phone at 409-860-3500 and via fax at 409-962-9253.

Location: 2501 S Major Dr, Beaumont, TX, 77619-4712
institution
Provider Profile Details
NPI Number
1861767832
Provider Name
Pelican Assisted Living Llc
Credential
Provider Entity Type
Organization
Address
2501 S Major Dr, Beaumont, TX, 77619-4712
Phone Number
409-860-3500
Fax Number
409-962-9253
Provider Enumeration Date
03/09/2012
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
32044376872 01 TX TEXAS COMPTROLLER OF PUBLIC ACCOUNTS TAXPAYER NUMBER
institution
Provider Business Practice Location Address Details
Address
2501 S Major Dr
City
State
Zip
77707-5018
Phone Number
409-860-3500
Fax Number
409-962-9253
person
Provider Business Mailing Address Details
Address
2501 S Major Dr
City
State
Zip
77707-5018
Phone Number
409-860-3500
Fax Number
409-962-9253
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
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