Organization
CHISHOLM TRAIL SCAL LLC
Active
Other names
Chisholm Trail Senior Living
Organization subpart
No
Provider details
NPI number
Authorized official
DIAN BURNS (ADMINISTRATOR)
(866) 304-6801
Entity
Organization
Contact information
Practice address
5100 RANDOL MILL RD, FORT WORTH, TX 76112-1553
(866) 304-6801
(972) 300-3640
Mailing address
5100 RANDOL MILL RD, FORT WORTH, TX 76112-1553
(866) 304-6801
(972) 300-3640
Taxonomy
Speciality
Code
Description
License number
State
261QR0400X
Rehabilitation Clinic/Center
Primary
—
—
Other
Enumeration date
04/21/2026
Last updated
04/21/2026
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