Cedar Lake Nursing Home, Inc.

NPI #1134272859 in Malakoff, Texas

Provider Information

NPI Number
1134272859
Entity Type
Organization
Organization Name
Cedar Lake Nursing Home, Inc.
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Jan 18, 2007
Last Updated
Mar 4, 2015

Practice Location

Address
1611 W ROYALL BLVD
State
Texas
ZIP Code
75148-6202
Phone
(903) 489-1702

Authorized Official

Name
MS. LORETTA LOUISE HUMBLE
Title
GENERAL PARTNER
Phone
(903) 489-1702

Specialties & Taxonomy Codes

Specialty
Nursing Facility/Intermediate Care Facility
Skilled Nursing Facility

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