Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
Meadowbrook Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK CERISE MD (CEO)
(214) 590-8006
Entity
Organization
Contact information
Practice address
632 WINDSOR DRIVE, VAN ALSTYNE, TX 75495
(903) 482-6455
Mailing address
920 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001015207
—
TX
Enumeration date
06/29/2007
Last updated
03/10/2020
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