Organization
PAM SQUARED AT CORPUS CHRISTI, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY F. MISITANO (PRESIDENT)
(717) 731-9660
Entity
Organization
Contact information
Practice address
345 S. WATER ST., 3RD FLOOR, CORPUS CHRISTI, TX 78401
(361) 500-0565
Mailing address
1828 GOOD HOPE RD, SUITE 102, ENOLA, PA 17025-1233
(717) 731-9660
(717) 731-9665
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
346300201
—
TX
05
—
346300202
—
TX
Enumeration date
09/15/2014
Last updated
08/03/2023
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