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Organization
DALLAS HOME FOR JEWISH AGED, INC.
Active
Organization
DALLAS HOME FOR JEWISH AGED, INC.
Active
Other names
The Legacy at Preston Hollow
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRIAN BARNES (CFO)
(972) 468-6171
Entity
Organization
Contact information
Practice address
11409 N CENTRAL EXPY, DALLAS, TX 75243-6678
(214) 363-5100
(241) 363-5133
Mailing address
6101 OHIO DR, SUITE 100, PLANO, TX 75024-2720
(972) 468-6171
(972) 468-6172
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
112773
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001012220
—
TX
01
—
165795901
PART B CO-INSURANCE
TX
Enumeration date
07/02/2007
Last updated
09/30/2013
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