Organization
DALLAS COUNTY HOSPITAL DISTRICT
Active
Other names
Edgewood Rehabilitation and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DR. FREDERICK CERISE MD (CEO)
(214) 590-8006
Entity
Organization
Contact information
Practice address
1101 WINDBELL ST, MESQUITE, TX 75149-2177
(972) 288-8800
Mailing address
1101 WINDBELL ST, MESQUITE, TX 75149-2177
(972) 288-8800
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001025812
—
TX
Enumeration date
03/12/2014
Last updated
07/15/2020
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