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NPI Code Detail

MEDICARE: TELESIS- WALNUT PLACE NURSING HOME I LTD.

MEDICARE: TELESIS- WALNUT PLACE 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 Facility000115TX

General Provider Information

NPI Number : 1053311886
Entity Type Code : Organization
Provider Name (Legal Business Name) : TELESIS- WALNUT PLACE NURSING HOME I LTD.
Provider Business Mailing Address
First Line : 5515 GLEN LAKES DR
Second Line :
City : DALLAS
State : TX
Zip : 75231-4309
Country : US
Telephone Number : 214-361-8923
Fax Number : 214-361-4782
Provider Business Practice Location Address
First Line : 5515 GLEN LAKES DR
Second Line :
City : DALLAS
State : TX
Zip : 75231-4309
Country : US
Telephone Number : 214-361-8923
Fax Number : 214-361-4782
Authorized Official
Title or Position : SECRETARY
Name : MS. BETTY Y. JANKO
Credential :
Telephone Number : 214-826-6870
Provider Enumeration Date : 07/22/2005
Last Update Date : 05/20/2010

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Directions to “TELESIS- WALNUT PLACE NURSING HOME I LTD. ” Practice Location

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