Organization
SANTA FE HEALTH & REHABILITATION CENTER, L.P.
Active
Other names
Santa Fe Health & 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
1205 SANTA FE DRIVE, WEATHERFORD, TX 76086
(817) 594-2786
(817) 594-0132
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
114939
TX
332BN1400X
Nursing Facility Supplies (DME)
121158
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
121158
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004955
—
TX
Enumeration date
05/05/2006
Last updated
10/30/2007
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