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Organization

BALCH SPRINGS NURSING HOME, L.P.

Active
Other names
Balch Springs Nursing Home
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
4200 SHEPHERD LN, BALCH SPRINGS, TX 75180-3423
(972) 286-0335
(972) 286-7514
Mailing address
200 DRYDEN ROAD, SUITE 2000, DRESHER, PA 19025
(215) 441-7700
(215) 441-4255

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
114513
TX
332BN1400X
Nursing Facility Supplies (DME)
114513
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
114513
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
005105
TX
Enumeration date
10/11/2005
Last updated
10/25/2007
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