Golden Triangle Living Center, Inc

NPI 1063616548 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1063616548
Enumeration Date 06/11/2007
Last Updated 04/20/2008
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name RICHARD RICHARD
Position EXECUTIVE DIRECTOR
Phone (409) 832-4112
Fax
Practice Location
2750 S 4TH ST
BEAUMONT TX, 77701-7912, US
Phone (409) 832-4112
Fax
Business Location
2750 S 4TH ST
BEAUMONT TX, 77701-7912, US
Phone
Fax
Toxanomy
Taxonomy Code 320600000X
License State Texas
License Number =========
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According to our database, Golden Triangle Living Center, Inc NPI is 1063616548, taxonomy code is 320600000X and license number is =========, license state is located at Texas. Golden Triangle Living Center, Inc physically located at 2750 S 4th St, Beaumont TX, 77701-7912. NPI Number 1033115704 has the healthcare provider type.

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1063616548 NPI number is provided on an as is basis without warranty of any kind. 1063616548 is maintained by the National Plan & Provider Enumeration System. The contents of Golden Triangle Living Center, Inc are for informational purposes only.