# DALLAS COUNTY HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Edgewood Rehabilitation and Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1821414087
- **Authorized official:** DR. FREDERICK CERISE MD (CEO)
- **Authorized official phone:** (214) 590-8006

## Contact information

- **Practice address:** 1101 WINDBELL ST, MESQUITE, TX 75149-2177
- **Practice address phone:** (972) 288-8800
- **Mailing address:** 1101 WINDBELL ST, MESQUITE, TX 75149-2177
- **Mailing address phone:** (972) 288-8800

## Taxonomy

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

## Other

- **Enumeration date:** 03/12/2014
- **Last updated:** 07/15/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001025812 | — | TX |