Golden Triangle Living Center, INC

NPI #1205150620 in Orange, Texas

Provider Information

NPI Number: 1205150620
Entity Type: Organization
Organization Name: Golden Triangle Living Center, INC
Primary Specialty: Intermediate Care Facility, Intellectual Disabilities
Enumeration Date: Mar 15, 2010
Last Updated: Mar 15, 2010

Practice Location

Address: 2204 24TH ST
City: Orange
State: Texas
ZIP Code: 77630-3115
Phone: (409) 886-5950

Authorized Official

Name: MR. JAMES E RICHARDSON
Title: CEO
Phone: (318) 445-6470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Intermediate Care Facility, Intellectual Disabilities	315P00000X	Primary

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