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Organization
BALCH SPRINGS NURSING HOME, L.P.
Active
Organization
BALCH SPRINGS NURSING HOME, L.P.
Active
Other names
Balch Springs Nursing Home
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
4200 SHEPHERD LN, BALCH SPRINGS, TX 75180-3423
(972) 286-0335
(972) 286-7514
Mailing address
200 DRYDEN ROAD, SUITE 2000, DRESHER, PA 19025
(215) 441-7700
(215) 441-4255
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
114513
TX
332BN1400X
Nursing Facility Supplies (DME)
114513
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
114513
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005105
—
TX
Enumeration date
10/11/2005
Last updated
10/25/2007
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