Organization
REGENCY NURSING CENTER PARTNERS OF PORT ARTHUR-GOLDEN TRIANGLE, LTD
Active
Other names
SENIOR REHABILITATION & SKILLED NURSING CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
MR. HEBER S. LACERDA (PRESIDENT/CEO)
(361) 576-0694
Entity
Organization
Contact information
Practice address
8825 LAMPLIGHTER LN, PORT ARTHUR, TX 77642-7238
(409) 727-1651
(409) 727-2767
Mailing address
8825 LAMPLIGHTER LN, PORT ARTHUR, TX 77642-7238
(409) 727-1651
(409) 727-2767
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
116137
TX
314000000X
Skilled Nursing Facility
Primary
675541
TX
332B00000X
Durable Medical Equipment & Medical Supplies
4435670001
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001003510
—
TX
05
—
149863601
—
TX
05
—
198544201
—
TX
05
—
463002
—
TX
Enumeration date
04/13/2006
Last updated
07/01/2009
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