# GROESBECK LTC PARTNERS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1497788269
- **Authorized official:** MR. LOUIS FREDERICK NICHOLSON III LNFA (CEO)
- **Authorized official phone:** (832) 489-9944

## Contact information

- **Practice address:** 607 PARKSIDE DR, GROESBECK, TX 76642-1124
- **Practice address phone:** (254) 729-3245
- **Practice address fax:** (254) 729-3788
- **Mailing address:** 607 PARKSIDE DR, GROESBECK, TX 76642-1124
- **Mailing address phone:** (254) 729-3245
- **Mailing address fax:** (254) 729-3788

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 124523 | TX | Yes |

## Other

- **Enumeration date:** 07/07/2006
- **Last updated:** 01/12/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001013528 | — | TX |
| 05 | — | 4909 | — | TX |