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GOLDEN TRIANGLE LIVING CENTERS INC

Intermediate Care Facility, Mentally Retarded

Port Arthur, Texas

Provider NPI: 1780798603

Organization Information:
Organization Name:  GOLDEN TRIANGLE LIVING CENTERS INC


Practice Location:
3905 28TH ST  PORT ARTHUR, TX 77642 US
Tel: 409-983-7756  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
TX115771

Other Provider Identifiers:

IssuerNumberStateType
45H111TX05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS TX - Page 1



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