# SULIK SHERIDAN ROCK PRIARIE INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Sheridan on Rock Prairie
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427033968
- **Authorized official:** MS. LYNDA BEARD (CAO)
- **Authorized official phone:** (979) 846-4633

## Contact information

- **Practice address:** 1105 ROCK PRAIRIE RD, COLLEGE STATION, TX 77845-8344
- **Practice address phone:** (979) 694-2200
- **Practice address fax:** (979) 696-6206
- **Mailing address:** PO BOX 4045, BRYAN, TX 77805-4045
- **Mailing address phone:** (979) 846-4633
- **Mailing address fax:** (979) 846-7674

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 110716 | TX | Yes |

## Other

- **Enumeration date:** 12/07/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 4952 | VENDOR NUMBER | — |