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Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
Ridgeview Rehabilitation and Skilled Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK CERISE MD (PRESIDENT & CEO)
(214) 590-8006
Entity
Organization
Contact information
Practice address
206 WALLS DR, CLEBURNE, TX 76033-4045
(817) 645-0668
(817) 645-0720
Mailing address
206 WALLS DR, CLEBURNE, TX 76033-4045
(817) 645-0668
(972) 899-4460
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
124941
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001021131
—
TX
01
—
199228101
MEDICAID CO B TPI
TX
Enumeration date
02/07/2008
Last updated
03/08/2023
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