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Organization
VISTA HILLS HEALTH CARE CENTER LP
Active
Organization
VISTA HILLS HEALTH CARE CENTER LP
Active
Other names
Vista Hills 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
1599 LOMALAND DR, EL PASO, TX 79935-4201
(915) 593-1131
(915) 593-2938
Mailing address
200 DRYDEN ROAD, SUITE 2000, DRESHER, PA 19025
(214) 441-7700
(215) 441-4255
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
109569
TX
332BN1400X
Nursing Facility Supplies (DME)
116883
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
116883
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
005086
VENDOR # STATE OF TX
TX
Enumeration date
10/04/2005
Last updated
10/19/2007
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