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Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
Lakewest Rehabilitation and Skilled Care
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK CERISE (PRESIDENT AND CEO)
(214) 590-8006
Entity
Organization
Contact information
Practice address
2450 BICKERS ST., DALLAS, TX 75212-1507
(214) 879-0888
(214) 879-1090
Mailing address
3310 W BRAKER LN UNIT 300-902, AUSTIN, TX 78758-7853
(512) 482-8242
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
131927
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001019200
—
TX
01
—
281855101
TPI - MCD CO B
TX
Enumeration date
10/20/2010
Last updated
02/11/2020
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