Organization
GOLDEN TRIANGLE LIVING CENTERS, INC.
Active
Other names
Model Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES E. RICHARDSON (C.E.O.)
(318) 445-6470
Entity
Organization
Contact information
Practice address
411 5TH AVE, PORT ARTHUR, TX 77642-3389
(409) 832-4112
Mailing address
715 MAIN ST, PINEVILLE, LA 71360-6937
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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