Munday Nursing Center, L.P.
Organization Active NPI Skilled Nursing Facility · Munday, TX
NPI 1437149986 · NPPES record last updated Sep 30, 2008
Key facts
- NPI
- 1437149986
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 115111 (TX)
- Legal business name
- MUNDAY NURSING CENTER, L.P.
- Practice address
- 421 W 'F' Street
Munday, TX 76371-0199 - Phone
- (940) 422-4541
- Fax
- (940) 422-5244
- NPI assigned
- Oct 26, 2005
- Organization subpart
- No
Authorized official
- Name
- Mr. Peter J Licari
- Title
- President of General Partner
- Phone
- (215) 441-7700
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 115111 | TX | Yes |
| Nursing Facility Supplies (DME) | 332BN1400X | |||
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X |
Addresses
Primary practice location
421 W 'F' Street
Munday, TX 76371-0199
Mailing address
200 Dryden Road
Suite 2000
Dresher, PA 19025
Phone (215) 441-7700
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004756 | Medicaid | TX | |
| 152702002 | Medicaid | TX | |
| 021830701 | Medicaid | TX | |
| 001004179 | Medicaid | TX | |
| 152702001 | Medicaid | TX |
Other names
- Munday Nursing Center
Other providers in Munday, TX
- Cacilda Estrada
- Knox County Hospital District
- Knox County Hospital District
- Kacy Dawn Latham
- Munday Cisd
- Munday SNF LLC
- Riverside Living Properties LLC
- Christopher Lee Scott
- Randall Lee Sloan
All providers in Munday, TX · Skilled Nursing Facility in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 30, 2008. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.