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NPI Code Detail

MEDICARE: SSC NORTH DALLAS OPERATING COMPANY

MEDICARE: SSC NORTH DALLAS OPERATING COMPANY
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 Facility008311TX

General Provider Information

NPI Number : 1326243072
Entity Type Code : Organization
Provider Name (Legal Business Name) : SSC NORTH DALLAS OPERATING COMPANY
Provider Business Mailing Address
First Line : 1 RAVINIA DR
Second Line : SUITE 1400
City : ATLANTA
State : GA
Zip : 30346-2112
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8383 MEADOW RD
Second Line :
City : DALLAS
State : TX
Zip : 75231-3701
Country : US
Telephone Number : 214-369-7811
Fax Number :
Authorized Official
Title or Position : EVP - COMPLIANCE AND AUDIT
Name : MR. BRENT SNELGROVE
Credential :
Telephone Number : 678-443-6770
Provider Enumeration Date : 06/20/2007
Last Update Date : 08/22/2020

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Directions to “SSC NORTH DALLAS OPERATING COMPANY ” Practice Location

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