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Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
Prestonwood Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK CERISE (CEO)
(214) 590-8006
Entity
Organization
Contact information
Practice address
2460 MARSH LN, PLANO, TX 75093-1612
(214) 731-5955
(214) 731-5977
Mailing address
2460 MARSH LN, PLANO, TX 75093-1612
(214) 731-5955
(214) 731-5977
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
121948
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001015050
—
TX
01
—
HH578S
BCBS PROVIDER #
TX
Enumeration date
05/03/2007
Last updated
03/31/2017
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