| Organization Name: | BIRMINGHAM HEALTH CARE CENTER, L.P. |
| NPI Number: | 1154319275 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | PETER J LICARI (PRESIDENT OF GENERAL PARTNER) |
| Mailing Address: | 1383 Johnson Drive Rusk |
| State: | TX US |
| Postal Code: | 757859319 |
| Phone Number: | 9036835444 |
| Fax Number: | 9036832923 |
| NPI Enumeration Date: | 10/12/2005 |
| NPI Last Update Date: | 03/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BN1400X |
| License Number: | 115376 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | TX |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Nursing Facility Supplies |
| Taxonomy Definition: | |