Organization
DTD DEVELOPMENT LLC
Active
Other names
Trail Lake Nursing and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. TERENCE N. BOYD (PRESIDENT)
(214) 608-4182
Entity
Organization
Contact information
Practice address
7100 TRAIL LAKE DR., FT. WORTH, TX 76133
(214) 608-4182
(817) 263-2220
Mailing address
1400 LONE OAK WAY, FLOWER MOUND, TX 75028-3865
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014648
—
TX
Enumeration date
08/14/2006
Last updated
04/15/2013
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