# DALLAS HOME FOR JEWISH AGED, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The Legacy at Preston Hollow
- **Organization subpart:** No

## Provider details

- **NPI number:** 1699972539
- **Authorized official:** MR. BRIAN BARNES (CFO)
- **Authorized official phone:** (972) 468-6171

## Contact information

- **Practice address:** 11409 N CENTRAL EXPY, DALLAS, TX 75243-6678
- **Practice address phone:** (214) 363-5100
- **Practice address fax:** (241) 363-5133
- **Mailing address:** 6101 OHIO DR, SUITE 100, PLANO, TX 75024-2720
- **Mailing address phone:** (972) 468-6171
- **Mailing address fax:** (972) 468-6172

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 112773 | TX | Yes |

## Other

- **Enumeration date:** 07/02/2007
- **Last updated:** 09/30/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001012220 | — | TX |
| 01 | — | 165795901 | PART B CO-INSURANCE | TX |