Golden Triangle Living Centers Inc in Beaumont - Intermediate Care Facility, Intellectual Disabilities

Golden Triangle Living Centers Inc - NPI 1407960321

Golden Triangle Living Centers Inc is a Intermediate Care Facility, Intellectual Disabilities in Beaumont, Texas. Golden Triangle Living Centers Inc practices all healthcare services and medical treatments related to Intermediate Care Facility, Intellectual Disabilities. The NPI Number for Golden Triangle Living Centers Inc is 1407960321. The last update date is 2020-08-22.

Golden Triangle Living Centers Inc's current location address is 9640 Meadowick Dr, Beaumont, Texas. You can contact this provider via phone number 4098667842 and fax number 4098328044. The mailing address for Golden Triangle Living Centers Inc is 9640 Meadowick Dr, Beaumont, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Organization Golden Triangle Living Centers Inc
Address 9640 Meadowick Dr, Beaumont, Texas
Phone Number 4098667842
Fax Number 4098328044
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Harrell B Jerrine
Telephone Number 3184456470

NPI Number Detail

NPI Number 1407960321
Provider Enumeration Date 2006-08-18
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 9640 Meadowick Dr
City Beaumont
State Texas (TX)
Post Code 777063859
Phone Number 4098667842
Fax Number 4098328044

Provider's Primary Taxonomy Detail

Speciality Intermediate Care Facility, Intellectual Disabilities
Taxonomy 315P00000X
Licence No 117000
Definition:
An intermediate care facility providing services for individuals with intellectual disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
45G930 TX --

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FAQs about Golden Triangle Living Centers Inc

What is the unique 10-digit identifier code issued to Golden Triangle Living Centers Inc by the Centers for Medicare & Medicaid Services?

The Golden Triangle Living Centers Inc has been assigned the NPI (National Provider Identifier) 1407960321 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you provide the complete address where Golden Triangle Living Centers Inc is physically located?

The Golden Triangle Living Centers Inc is situated at the following address: 9640 Meadowick Dr, Beaumont, TX 777063859.

What is the Golden Triangle Living Centers Inc's area of specialization and corresponding taxonomy classification?

The Golden Triangle Living Centers Inc's specialty field is Intermediate Care Facility, Intellectual Disabilities, and it falls under the taxonomy code 315P00000X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services assign the 1407960321 to Golden Triangle Living Centers Inc?

The Centers for Medicare & Medicaid Services assigned the 1407960321 to Golden Triangle Living Centers Inc on 2006-08-18.

As of what date were the details pertaining to Golden Triangle Living Centers Inc last refreshed?

The information related to the Golden Triangle Living Centers Inc, including its address, specialty, and other relevant details, was last updated on 2020-08-22.

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