Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
Lakewest Rehabilitation and Skilled Care
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK CERISE (PRESIDENT AND CEO)
(214) 590-8006
Entity
Organization
Contact information
Practice address
2450 BICKERS ST., DALLAS, TX 75212-1507
(214) 879-0888
(214) 879-1090
Mailing address
3310 W BRAKER LN UNIT 300-902, AUSTIN, TX 78758-7853
(512) 482-8242
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
131927
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001019200
—
TX
01
—
281855101
TPI - MCD CO B
TX
Enumeration date
10/20/2010
Last updated
02/11/2020
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