Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
Ridgeview Rehabilitation and Skilled Nursing
Organization subpart
No
Provider details
NPI number
Authorized official
FREDERICK CERISE MD (PRESIDENT & CEO)
(214) 590-8006
Entity
Organization
Contact information
Practice address
206 WALLS DR, CLEBURNE, TX 76033-4045
(817) 645-0668
(817) 645-0720
Mailing address
206 WALLS DR, CLEBURNE, TX 76033-4045
(817) 645-0668
(972) 899-4460
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
124941
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001021131
—
TX
01
—
199228101
MEDICAID CO B TPI
TX
Enumeration date
02/07/2008
Last updated
03/08/2023
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