Whalio Doctors

NPI 1164536082

Golden Triangle Living Centers INC

Organisation Intellectual Disabilities Intermediate Care Facility Port Arthur, TX

Practice location

Address
411 5th Avenue, Port Arthur, TX 77642
Phone
(409) 985-4774
Fax
(409) 832-8044
Mailing address
2750 South 4th Street, Beaumont, TX 77701-7912

Authorised official

Name
Jerrine B Harrell
Title
President
Phone
(318) 445-6470

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary
Nursing & Custodial Care Facilities Taxonomy 315P00000X Licence 116213 (TX)

Registry record

NPI
1164536082
Entity type
Organization
NPI issued
18 Aug 2006
Record last updated
22 Aug 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.