Organization · Type 2 NPI
Golden Triangle Living Centers Inc
Intellectual Disabilities Intermediate Care Facility · Port Arthur, TX
NPI number
1164536082
Active
Practice location
411 5th Avenue
Port Arthur, TX 77642
Fax (409) 832-8044
Mailing address
2750 South 4th Street
Beaumont, TX 77701-7912
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | 116213 (TX) |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
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About NPI 1164536082
Golden Triangle Living Centers Inc's National Provider Identifier is 1164536082, issued on Aug 18, 2006. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Port Arthur, TX. The record was last updated on Aug 22, 2020.