# DALLAS COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Duncanville Healthcare and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1295920221
- **Authorized official:** FREDERICK CERISE MD (CEO)
- **Authorized official phone:** (214) 590-8006

## Contact information

- **Practice address:** 419 SOUTH COCKRELL HILL RD, DUNCANVILLE, TX 75116-4939
- **Practice address phone:** (972) 708-8800
- **Practice address fax:** (972) 708-6184
- **Mailing address:** 5201 HARRY HINES BLVD, DALLAS, TX 75235-7708
- **Mailing address phone:** (214) 590-8006
- **Mailing address fax:** (214) 590-8096

## Taxonomy

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

## Other

- **Enumeration date:** 09/12/2007
- **Last updated:** 02/20/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001026639 | — | TX |