| NPI | 1376524850 |
|---|---|
| Doing Business As | SOUTH DALLAS NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | SAMUEL B HAWKINS Owner 214-428-2851 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 000004607) |
| Additional Taxonomies | 314000000X Skilled Nursing Facility (Licence: TX 675440) |
| Enumeration Date | 2005-11-10 |
| Last Update Date | 2008-03-20 |