| Organization Name: | RIVER OAKS CARE CENTER, L.P. |
| NPI Number: | 1043268469 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER J LICARI (PRESIDENT OF GENERAL PARTNER) |
| Mailing Address: | 100 Bailey Street Wichita Falls |
| State: | TX US |
| Postal Code: | 763016927 |
| Phone Number: | 9407660279 |
| Fax Number: | 9407675637 |
| NPI Enumeration Date: | 05/05/2006 |
| NPI Last Update Date: | 11/14/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BN1400X |
| License Number: | 121276 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Nursing Facility Supplies |
| Taxonomy Definition: | |