# DTD DEVELOPMENT LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Trail Lake Nursing and Rehab
- **Organization subpart:** No

## Provider details

- **NPI number:** 1679586325
- **Authorized official:** MR. TERENCE N. BOYD (PRESIDENT)
- **Authorized official phone:** (214) 608-4182

## Contact information

- **Practice address:** 7100 TRAIL LAKE DR., FT. WORTH, TX 76133
- **Practice address phone:** (214) 608-4182
- **Practice address fax:** (817) 263-2220
- **Mailing address:** 1400 LONE OAK WAY, FLOWER MOUND, TX 75028-3865

## Taxonomy

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

## Other

- **Enumeration date:** 08/14/2006
- **Last updated:** 04/15/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001014648 | — | TX |