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Organization
DALLAS CENTER OF REHABILITATION LLC
Active
Organization
DALLAS CENTER OF REHABILITATION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KELLY DELK (GOVERNING BODY)
(949) 282-5800
Entity
Organization
Contact information
Practice address
4200 LIVE OAK ST., DALLAS, TX 75204-7041
(214) 821-0050
(214) 821-0051
Mailing address
4200 LIVE OAK ST., DALLAS, TX 75204-7041
(214) 821-0050
(214) 821-0051
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
126452
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001016411
—
TX
Enumeration date
04/10/2008
Last updated
07/11/2013
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