Organization
SULPHUR SPRINGS HEALTH & REHABILITATION, L.P.
Active
Other names
Sulphur Springs Health & Rehabilitation
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
411 AIRPORT ROAD, SULPHUR SPRINGS, TX 75482
(903) 885-7668
(903) 885-8037
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
114768
TX
332BN1400X
Nursing Facility Supplies (DME)
120772
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
120772
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004740
—
TX
Enumeration date
05/11/2006
Last updated
10/30/2007
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