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Organization
RIVER OAKS CARE CENTER, L.P.
Active
Organization
RIVER OAKS CARE CENTER, L.P.
Active
Other names
River Oaks Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PETER J LICARI (PRESIDENT OF GENERAL PARTNER)
(215) 441-7700
Entity
Organization
Contact information
Practice address
100 BAILEY STREET, WICHITA FALLS, TX 76301-6927
(940) 766-0279
(940) 767-5637
Mailing address
200 DRYDEN ROAD, SUITE 2000, DRESHER, PA 19025-1048
(215) 441-7700
(215) 441-4255
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
114740
TX
332BN1400X
Nursing Facility Supplies (DME)
121276
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
121276
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004322
—
TX
Enumeration date
05/05/2006
Last updated
11/14/2007
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