GOLDEN TRIANGLE LIVING CENTERS INC
Intermediate Care Facility, Mentally Retarded
Beaumont, Texas
Provider NPI: 1790899615
Organization Information:Organization Name: GOLDEN TRIANGLE LIVING CENTERS INC
Practice Location:
3895 CHERYL ST BEAUMONT, TX 77706 US
Tel: 409-892-7260 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
3895 CHERYL ST BEAUMONT, TX 77706 US
Tel: 409-892-7260 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | TX | 116617 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
45G395 | TX | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin