Organization
PARK VIEW CARE CENTER, L.P.
Active
Other names
Park View 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
3301 VIEW STREET, FORT WORTH, TX 76103-2499
(817) 531-3616
(817) 535-6952
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
115144
TX
332BN1400X
Nursing Facility Supplies (DME)
121062
TX
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
121062
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004735
—
TX
Enumeration date
05/05/2006
Last updated
10/29/2007
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