GOLDEN TRIANGLE LIVING CENTERS INC. NPI 1407071723

NPI Information

GOLDEN TRIANGLE LIVING CENTERS, INC. is an intermediate care facility mentally retarded in Beaumont, TX. The provider is an intermediate care facility providing services for individuals with intellectual disabilities. GOLDEN TRIANGLE LIVING CENTERS, INC. NPI is 1407071723. The provider is registered as an organization entity type.
The provider Is Doing Business As Jerry Living Center.

The provider's business location address is:

4415 JERRY DR
BEAUMONT, TX
ZIP 77703-923
Phone: (409) 832-4112

The provider's authorized official is James E. Richardson .
The authorized official title is C.e.o. and has the following contact phone number (318) 445-6470.

The enumeration date for this NPI number is 4/13/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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