CLYDE NURSING CENTER, L.P
Suppliers at Stephens St, Clyde, TX

License number
Texas 108904
Category
Nursing
Type
Skilled Nursing Facility
License number
Texas 114462
Category
Suppliers
Type
Nursing Facility Supplies
License number
Texas 114462
Category
Suppliers
Type
Parenteral & Enteral Nutrition
Owner
Name: MR. PETER J LICARI
Title: PRESIDENT OF GENERAL PARTNER
Phone: (215) 441-7700
Address
Address 2
806 Stephens St, Clyde, TX 79510
200 Dryden Rd E SUITE 2000, Dresher, PA 19025
National Provider ID: 1730177718
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CLYDE NURSING CENTER, L.P

200 Dryden Rd E STE 2000, Dresher, PA 19025

Status:
Inactive
Doing business as:
Clyde Nursing Center, LLC
Registration:
Nov 2, 2004
State ID:
0800408687
Business type:
Domestic Limited Liability Company (LLC)
Entity State:
TX
General Partners:
Clyde Nursing Center Holding, Llc Member, inactive,Clyde Nursing Center Gp Llc General Partner, inactive
Agent:
Corporation Service Company Dba Csc - Lawyers Inco,211 E 7 St SUITE 620, Austin, TX 78701 (Physical)
TIN:
10106294118

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