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Organization

THI OF TEXAS AT FOREST LANE, LLC

Active
Other names
The Highlands of Dallas
Organization subpart
No

Provider details

NPI number
Authorized official
RODRIGO GIACINTI (PRESIDENT)
(972) 783-1771
Entity
Organization

Contact information

Practice address
9009 FOREST LN, DALLAS, TX 75243-4114
(972) 783-1771
(972) 783-1774
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
001014076
TX
Enumeration date
10/07/2006
Last updated
08/18/2011
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