NPI 1205150620

Golden Triangle Living Center, INC

Organisation Intellectual Disabilities Intermediate Care Facility Orange, TX

Practice location

Address: 2204 24th St, Orange, TX 77630-3115
Phone: (409) 886-5950
Fax: (318) 641-3717
Mailing address: 2750 S 4th St, Beaumont, TX 77701-7912

Authorised official

Name: James E Richardson
Title: Ceo
Phone: (318) 445-6470

Registered specialties

Intellectual Disabilities Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 315P00000X

Other Intermediate Care Facility, Intellectual Disabilities providers in Texas →

Registry record

NPI: 1205150620
Entity type: Organization
NPI issued: 15 Mar 2010
Record last updated: 15 Mar 2010

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.