# THI OF TEXAS AT FOREST LANE, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Highlands of Dallas
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053408237
- **Authorized official:** RODRIGO GIACINTI (PRESIDENT)
- **Authorized official phone:** (972) 783-1771

## Contact information

- **Practice address:** 9009 FOREST LN, DALLAS, TX 75243-4114
- **Practice address phone:** (972) 783-1771
- **Practice address fax:** (972) 783-1774
- **Mailing address:** 920 RIDGEBROOK RD, SPARKS, MD 21152-9390
- **Mailing address phone:** (410) 773-1000

## Taxonomy

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

## Other

- **Enumeration date:** 10/07/2006
- **Last updated:** 08/18/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001014076 | — | TX |