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NPI Code Detail

MEDICARE: SINAI HOUSE

MEDICARE: SINAI HOUSE
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
1320800000XMental Illness Community Based Residential Treatment Facility634CTX

General Provider Information

NPI Number : 1366563231
Entity Type Code : Organization
Provider Name (Legal Business Name) : SINAI HOUSE
Provider Business Mailing Address
First Line : 2719 HOLMES STREET
Second Line :
City : DALLAS
State : TX
Zip : 75215
Country : US
Telephone Number : 214-421-7580
Fax Number : 214-421-2510
Provider Business Practice Location Address
First Line : 2719 HOLMES ST
Second Line :
City : DALLAS
State : TX
Zip : 75215-2746
Country : US
Telephone Number : 214-421-7580
Fax Number : 214-421-2510
Authorized Official
Title or Position : COO
Name : MR. DA DAVIS
Credential :
Telephone Number : 214-421-7580
Provider Enumeration Date : 04/02/2007
Last Update Date : 12/08/2011

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Directions to “SINAI HOUSE ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.