# COPPELL SNF OPERATIONS LLC

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

## Provider details

- **NPI number:** 1891118238
- **Authorized official:** PAULA PIERCE (AUTHORIZED OFFICER)
- **Authorized official phone:** (972) 899-4401

## Contact information

- **Practice address:** 1410 E SANDY LAKE RD, COPPELL, TX 75019-3119
- **Practice address phone:** (972) 304-4444
- **Practice address fax:** (972) 462-6605
- **Mailing address:** 1500 WATERS RIDGE DR, LEWISVILLE, TX 75057-6011
- **Mailing address phone:** (972) 899-4401
- **Mailing address fax:** (972) 899-4806

## Taxonomy

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

## Other

- **Enumeration date:** 01/21/2014
- **Last updated:** 01/21/2014