Golden Triangle Living Centers INC
Intermediate Care Facility, Intellectual Disabilities in Beaumont, TX. Organization (NPI-2).
NPI number1043324965
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1043324965
- Entity type
- Organization (NPI-2)
- Legal business name
- Golden Triangle Living Centers INC
- Organization subpart
- No
- Enumeration date
- Aug 18, 2006
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 315P00000X | Intermediate Care Facility, Intellectual Disabilities | 117109 | TX | Yes |
Other names
- Huntsman Living Center (Doing Business As)
Practice location
535 Carnahan PlBeaumont, TX 77707
Phone 409-866-2588 · Fax 409-832-8044
Mailing address
2750 South 4th StreetBeaumont, TX 77701-7912
Phone 409-832-4112 · Fax 409-832-8044
Authorized official
Jerrine B Harrell
President
3184456470
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