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Organization
SULIK SHERIDAN ROCK PRIARIE INC.
Active
Organization
SULIK SHERIDAN ROCK PRIARIE INC.
Active
Other names
Sheridan on Rock Prairie
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNDA BEARD (CAO)
(979) 846-4633
Entity
Organization
Contact information
Practice address
1105 ROCK PRAIRIE RD, COLLEGE STATION, TX 77845-8344
(979) 694-2200
(979) 696-6206
Mailing address
PO BOX 4045, BRYAN, TX 77805-4045
(979) 846-4633
(979) 846-7674
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
110716
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4952
VENDOR NUMBER
—
Enumeration date
12/07/2005
Last updated
08/22/2020
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