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Organization

DALLAS COUNTY HOSPITAL DISTRICT

Active
Other names
Ridgecrest Healthcare and Rehabilitation Center
Organization subpart
No

Provider details

NPI number
Authorized official
FREDERICK P CERISE (PRESIDENT & CEO)
(214) 590-8006
Entity
Organization

Contact information

Practice address
561 RIDGECREST RD, FORNEY, TX 75126-0146
(972) 552-2420
(972) 552-2481
Mailing address
561 RIDGECREST RD, FORNEY, TX 75126-0146
(972) 552-2420
(972) 552-2481

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
139550
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001018949
TX
Enumeration date
06/15/2010
Last updated
03/24/2017
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