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Organization
THE NURSING & REHABILITATION CENTER OF PINECREST, L.P.
Active
Organization
THE NURSING & REHABILITATION CENTER OF PINECREST, L.P.
Active
Other names
Pinecrest Nursing & Rehabilitation 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
3505 OLD JACKSONVILLE ROAD, TYLER, TX 75701
(903) 561-2011
(903) 534-8335
Mailing address
200 DRYDEN ROAD, SUITE 2000, DRESHER, PA 19025-1048
(215) 441-7700
(215) 441-4255
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
113558
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
005181
—
TX
Enumeration date
06/26/2006
Last updated
10/30/2007
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