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Organization
BIRMINGHAM HEALTH CARE CENTER, L.P.
Active
Organization
BIRMINGHAM HEALTH CARE CENTER, L.P.
Active
Other names
Birmingham Health 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
1383 JOHNSON DRIVE, RUSK, TX 75785-9319
(903) 683-5444
(903) 683-2923
Mailing address
200 DRYDEN RD E, SUITE 2000, DRESHER, PA 19025
(215) 441-7700
(215) 441-4255
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
108019
TX
332BN1400X
Nursing Facility Supplies (DME)
115376
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
115376
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004920
—
TX
Enumeration date
10/12/2005
Last updated
03/26/2008
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