Organization
GLADYS DICKERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GLADYS MARIE DICKERSON (NURSE MANAGER)
(214) 857-0389
Entity
Organization
Contact information
Practice address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
(214) 857-0389
Mailing address
4500 S LANCASTER RD, DALLAS, TX 75216-7167
Taxonomy
Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary
229380
TX
Other
Enumeration date
10/25/2006
Last updated
08/22/2020
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