Organization
DIVERSIFIED HEALTHCARE-DALLAS LLC
Active
Other names
Brookhaven Nursing & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TOM MARKS (ADMINISTRATOR)
(972) 394-7141
Entity
Organization
Contact information
Practice address
1855 CHEYENNE DR, CARROLLTON, TX 75010-2201
(972) 394-7141
(972) 492-5534
Mailing address
1855 CHEYENNE DR, CARROLLTON, TX 75010-2201
(972) 394-7141
(972) 492-5534
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
118368
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001013833
—
TX
Enumeration date
03/12/2007
Last updated
08/12/2011
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