# PRESBYTERIAN VILLAGE NORTH FOREFRONT LIVING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376706077
- **Authorized official:** KAREN KIMBERLY JOHNSON-COOK BSN RN (CORPORATE COMPLIANCE DIRECTOR)
- **Authorized official phone:** (214) 413-1566

## Contact information

- **Practice address:** 8600 SKYLINE DR, DALLAS, TX 75243-4198
- **Practice address phone:** (214) 355-9024
- **Practice address fax:** (214) 355-9079
- **Mailing address:** 8600 SKYLINE DR, DALLAS, TX 75243-4198
- **Mailing address phone:** (214) 355-9001
- **Mailing address fax:** (214) 355-9050

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 000295 | TX | Yes |

## Other

- **Enumeration date:** 07/03/2008
- **Last updated:** 03/20/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000295 | DADS NURSING FACILITY | TX |