Subtenant 3611 Dickason Avenue, Llc in Dallas - Skilled Nursing Facility
Subtenant 3611 Dickason Avenue, Llc - NPI 1689868861
Subtenant 3611 Dickason Avenue, Llc is a Skilled Nursing Facility in Dallas, Texas. Subtenant 3611 Dickason Avenue, Llc practices all healthcare services and medical treatments related to Skilled Nursing Facility. The NPI Number for Subtenant 3611 Dickason Avenue, Llc is 1689868861. The last update date is 2011-10-10.
Subtenant 3611 Dickason Avenue, Llc's current location address is 3611 Dickason Avenue, Dallas, Texas. You can contact this provider via phone number 2145590140 and fax number 2145590171. The mailing address for Subtenant 3611 Dickason Avenue, Llc is 3611 Dickason Avenue, Dallas, Texas. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Subtenant 3611 Dickason Avenue, Llc |
|---|---|
| Address | 3611 Dickason Avenue, Dallas, Texas |
| Phone Number | 2145590140 |
| Fax Number | 2145590171 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | REGIONAL V |
|---|---|
| Authorized Official Name | Oborn C Raymond |
| Telephone Number | 9492407200 |
NPI Number Detail
| NPI Number | 1689868861 |
|---|---|
| Provider Enumeration Date | 2007-08-30 |
| Last Updated Date | 2011-10-10 |
Provider Mailing Address Detail
| Address | 3611 Dickason Avenue |
|---|---|
| City | Dallas |
| State | Texas (TX) |
| Post Code | 752194912 |
| Phone Number | 2145590140 |
| Fax Number | 2145590171 |
Provider's Primary Taxonomy Detail
| Speciality | Skilled Nursing Facility |
|---|---|
| Taxonomy | 314000000X |
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Definition: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring serv |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 1019490 | TX | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Subtenant 3611 Dickason Avenue, Llc by the Centers for Medicare & Medicaid Services?
The Subtenant 3611 Dickason Avenue, Llc has been assigned the NPI (National Provider Identifier) 1689868861. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Subtenant 3611 Dickason Avenue, Llc?
The Subtenant 3611 Dickason Avenue, Llc is physically situated at 3611 Dickason Avenue, in the city of Dallas, state of TX, with the postal code 752194912.
What is Subtenant 3611 Dickason Avenue, Llc's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Subtenant 3611 Dickason Avenue, Llc's specialized field of practice is Skilled Nursing Facility, and the corresponding taxonomy code that categorizes this area of specialization is 314000000X.
On what date did the Subtenant 3611 Dickason Avenue, Llc receive its 1689868861 assignment from the Centers for Medicare & Medicaid Services?
The Subtenant 3611 Dickason Avenue, Llc was assigned its 1689868861 by the Centers for Medicare & Medicaid Services on 2007-08-30.
When was the information pertaining to Subtenant 3611 Dickason Avenue, Llc most recently updated or revised?
The details related to Subtenant 3611 Dickason Avenue, Llc, including its address, specialty, and other relevant information, were last updated or revised on 2011-10-10.