MEDICARE: GOLDEN MEADOWS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	320700000X	Physical Disabilities Residential Treatment Facility	000967	TX

General Provider Information

NPI Number	:	1750535068
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	GOLDEN MEADOWS

Provider Business Mailing Address
First Line	:	4411 TIDEWATER DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-4343
Country	:	US
Telephone Number	:	713-433-8880
Fax Number	:

Provider Business Practice Location Address
First Line	:	4411 TIDEWATER DR
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77045-4343
Country	:	US
Telephone Number	:	713-433-8880
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MR. WILLIAM T RHODES
Credential	:
Telephone Number	:	713-433-8880

Provider Enumeration Date	:	11/13/2008
Last Update Date	:	11/13/2008

Similar Medicare Providers

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Directions to “GOLDEN MEADOWS ” Practice Location

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