| NPI | 1134272859 |
|---|---|
| Doing Business As | CEDAR LAKE NURSING HOME |
| Entity Type | Organization |
| Authorized Contact | LORETTA LOUISE HUMBLE General Partner 903-489-1702 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: TX 675898) |
| Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
| 313M00000X Nursing Facility/Intermediate Care Facility (Licence: TX 000436301) | |
| Enumeration Date | 2007-01-18 |
| Last Update Date | 2015-03-04 |