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NPI Code Detail

MEDICARE: TELESIS-TRAYMORE NURSING HOME I, LTD.

MEDICARE: TELESIS-TRAYMORE NURSING HOME I, LTD.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility000113TX

General Provider Information

NPI Number : 1588664320
Entity Type Code : Organization
Provider Name (Legal Business Name) : TELESIS-TRAYMORE NURSING HOME I, LTD.
Provider Business Mailing Address
First Line : 4315 HOPKINS AVE.
Second Line :
City : DALLAS
State : TX
Zip : 75209-3026
Country : US
Telephone Number : 214-358-3131
Fax Number : 214-358-0846
Provider Business Practice Location Address
First Line : 4315 HOPKINS AVE.
Second Line :
City : DALLAS
State : TX
Zip : 75209-3026
Country : US
Telephone Number : 214-358-3131
Fax Number : 214-358-0846
Authorized Official
Title or Position : PARTNER
Name : MR. JOHN E NEILL
Credential :
Telephone Number : 214-826-6870
Provider Enumeration Date : 07/22/2005
Last Update Date : 04/08/2010

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Directions to “TELESIS-TRAYMORE NURSING HOME I, LTD. ” Practice Location

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