Organization
MANOR CARE OF DALLAS TX LLC
Active
Other names
ManorCare Health Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARTIN D ALLEN (DIRECTOR)
(419) 252-5734
Entity
Organization
Contact information
Practice address
3326 BURGOYNE ST, DALLAS, TX 75233-1304
(214) 330-9291
(214) 331-2924
Mailing address
333 N SUMMIT ST, TOLEDO, OH 43604-2615
(419) 252-5500
(877) 385-9446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
110416
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001015399
—
TX
Enumeration date
06/13/2006
Last updated
05/30/2017
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