# FAIRPARK SCC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Senior Care Health and Rehabilitation Center - Dallas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003051855
- **Authorized official:** JASON PRICE (SENIOR VICE PRESIDENT)
- **Authorized official phone:** (949) 436-4343

## Contact information

- **Practice address:** 2815 MARTIN LUTHER KING JR BLVD, DALLAS, TX 75215-2320
- **Practice address phone:** (214) 421-2159
- **Practice address fax:** (214) 428-2303
- **Mailing address:** 2815 MARTIN LUTHER KING JR BLVD, DALLAS, TX 75215-2320
- **Mailing address phone:** (214) 421-2159
- **Mailing address fax:** (214) 428-2303

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 12/09/2008
- **Last updated:** 09/04/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001016956 | — | TX |