Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Subtenant 3611 Dickason Avenue, LLC

Organization Skilled Nursing Facility · NPI 1689868861

Subtenant 3611 Dickason Avenue, LLC is a Skilled Nursing Facility in Dallas, Texas. Licensed in Texas. Registered with an NPI since 2007.

Licensed in
TX
In the registry since
2007
Specialties on file
2
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3611 Dickason Ave
Dallas, TX 75219-4912
Phone: (214) 559-0140
Fax: (214) 559-0171
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence 130513 (TX)
Skilled Nursing Facility Taxonomy 314000000X

Record details

NPI number1689868861
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Raymond Oborn — Regional Vp Of Operations · (949) 240-7200
NPI enumeratedAugust 30, 2007
Last updated in NPPESOctober 10, 2011
Mailing address3611 Dickason Avenue, Dallas, TX 75219-4912

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