Organization
SULIK SHERIDAN ANDERSON INC
Active
Other names
Sheridan on Anderson
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LYNDA BEARD (CAO)
(979) 846-4633
Entity
Organization
Contact information
Practice address
1115 ANDERSON ST, COLLEGE STATION, TX 77840-4465
(979) 693-1515
(979) 696-0462
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
112144
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5050
VENDOR NUMBER
—
Enumeration date
12/07/2005
Last updated
08/22/2020
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