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NPI Code Detail

MEDICARE: PREMIER TRANSITIONAL CARE OF DALLAS LLC

MEDICARE: PREMIER TRANSITIONAL CARE OF DALLAS LLC
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 Facility132759TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1841431319
Entity Type Code : Organization
Provider Name (Legal Business Name) : PREMIER TRANSITIONAL CARE OF DALLAS LLC
Provider Business Mailing Address
First Line : 7240 CHASE OAKS BLVD
Second Line :
City : PLANO
State : TX
Zip : 75025-5901
Country : US
Telephone Number : 972-517-6300
Fax Number : 972-517-6301
Provider Business Practice Location Address
First Line : 6825 HARRY HINES BLVD
Second Line :
City : DALLAS
State : TX
Zip : 75235-4210
Country : US
Telephone Number : 214-845-6200
Fax Number : 214-845-6400
Authorized Official
Title or Position : MANAGER
Name : WILLIAM A THURMAN JR.
Credential :
Telephone Number : 972-517-6300
Provider Enumeration Date : 03/13/2009
Last Update Date : 01/06/2012

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Directions to “PREMIER TRANSITIONAL CARE OF DALLAS LLC ” Practice Location

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