Clyde Nursing Center, L.p

NPI #1730177718 in Clyde, Texas

Provider Information

NPI Number
1730177718
Entity Type
Organization
Organization Name
Clyde Nursing Center, L.p
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Oct 12, 2005
Last Updated
Oct 26, 2007

Practice Location

Address
806 STEPHENS ST
City
Clyde
State
Texas
ZIP Code
79510-4554
Phone
(325) 893-4288

Authorized Official

Name
MR. PETER J LICARI
Title
PRESIDENT OF GENERAL PARTNER
Phone
(215) 441-7700

Specialties & Taxonomy Codes

Specialty
Durable Medical Equipment & Medical Supplies - Nursing Facility SuppliesNursing Facility Supplies
Durable Medical Equipment & Medical Supplies - Parenteral & Enteral NutritionParenteral & Enteral Nutrition
Skilled Nursing Facility

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