| NPI | 1639945280 |
|---|---|
| Doing Business As | CEDAR LAKE NURSING CENTER |
| Entity Type | Organization |
| Authorized Contact | DENVER SHEDDY Manager 903-583-1854 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2023-11-27 |
| Last Update Date | 2023-11-27 |