Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
Town East Rehabilitation and Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK CERISE MD (CEO)
(214) 590-8006
Entity
Organization
Contact information
Practice address
3617 O'HARE DRIVE, MESQUITE, TX 75150
(972) 284-8600
(972) 824-8650
Mailing address
3617 O HARE DR, MESQUITE, TX 75150-4539
(972) 284-8600
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
121433
TX
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001021093
—
TX
05
—
001026887
—
TX
01
—
188088201
MCD CO B
TX
Enumeration date
07/25/2006
Last updated
03/08/2023
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