Organization
ST. GILES LIVING CENTERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRANDI TURNER (LICENSING COORDINATOR)
(682) 707-2756
Entity
Organization
Contact information
Practice address
4150 INTERNATIONAL PLZ STE 820, FORT WORTH, TX 76109-4836
(800) 299-5161
(817) 447-3033
Mailing address
4150 INTERNATIONAL PLZ STE 820, FORT WORTH, TX 76109-4836
(800) 299-5161
(817) 447-3033
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
001007212
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000740601
—
TX
05
—
000752201
—
TX
05
—
000753401
—
TX
05
—
001007212
—
TX
05
—
001007316
—
TX
05
—
001010231
—
TX
Enumeration date
11/30/2006
Last updated
05/13/2025
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