Organization
BIRMINGHAM HEALTH CARE CENTER, L.P.
Active
Other names
Birmingham Health Care 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
1383 JOHNSON DRIVE, RUSK, TX 75785-9319
(903) 683-5444
(903) 683-2923
Mailing address
200 DRYDEN RD E, SUITE 2000, DRESHER, PA 19025
(215) 441-7700
(215) 441-4255
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
108019
TX
332BN1400X
Nursing Facility Supplies (DME)
115376
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
115376
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004920
—
TX
Enumeration date
10/12/2005
Last updated
03/26/2008
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