# DALLAS COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakewest Rehabilitation and Skilled Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346550654
- **Authorized official:** FREDERICK CERISE (PRESIDENT AND CEO)
- **Authorized official phone:** (214) 590-8006

## Contact information

- **Practice address:** 2450 BICKERS ST., DALLAS, TX 75212-1507
- **Practice address phone:** (214) 879-0888
- **Practice address fax:** (214) 879-1090
- **Mailing address:** 3310 W BRAKER LN UNIT 300-902, AUSTIN, TX 78758-7853
- **Mailing address phone:** (512) 482-8242

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 131927 | TX | Yes |

## Other

- **Enumeration date:** 10/20/2010
- **Last updated:** 02/11/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001019200 | — | TX |
| 01 | — | 281855101 | TPI - MCD CO B | TX |