# CAPITOL CITY HEALTH & REHABILITATION CENTER, L.P.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Capitol City Health & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1912995036
- **Authorized official:** MR. PETER J LICARI (VICE PRESIDENT)
- **Authorized official phone:** (215) 441-7700

## Contact information

- **Practice address:** 9052 GALEWOOD DR, AUSTIN, TX 78758-6495
- **Practice address phone:** (512) 836-9172
- **Practice address fax:** (512) 834-4376
- **Mailing address:** 200 DRYDEN ROAD, SUITE 2000, DRESHER, PA 19025
- **Mailing address phone:** (215) 441-7700
- **Mailing address fax:** (215) 441-4255

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 108164 | TX | Yes |
| 332BN1400X | Nursing Facility Supplies (DME) | 115268 | TX | — |
| 332BP3500X | Parenteral & Enteral Nutrition Supplies (DME) | 115268 | TX | — |

## Other

- **Enumeration date:** 10/12/2005
- **Last updated:** 10/25/2007