Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
Prestonwood Rehabilitation and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK CERISE (CEO)
(214) 590-8006
Entity
Organization
Contact information
Practice address
2460 MARSH LN, PLANO, TX 75093-1612
(214) 731-5955
(214) 731-5977
Mailing address
2460 MARSH LN, PLANO, TX 75093-1612
(214) 731-5955
(214) 731-5977
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
121948
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001015050
—
TX
01
—
HH578S
BCBS PROVIDER #
TX
Enumeration date
05/03/2007
Last updated
03/31/2017
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