# TEAGUE LTC PARTNERS, INC.

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

## Provider details

- **NPI number:** 1780002535
- **Authorized official:** MR. LOUIS FREDERICK NICHOLSON III LNFA (CEO)
- **Authorized official phone:** (832) 489-9944

## Contact information

- **Practice address:** 884 US HIGHWAY 84 W, TEAGUE, TX 75860-5142
- **Practice address phone:** (254) 739-2541
- **Practice address fax:** (254) 739-5233
- **Mailing address:** 8505 TECHNOLOGY FOREST PL, SUITE 1004, THE WOODLANDS, TX 77381-1000
- **Mailing address phone:** (281) 414-5744
- **Mailing address fax:** (866) 354-8161

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 001025830 | TX | — |
| 314000000X | Skilled Nursing Facility | 005013 | TX | Yes |
| 314000000X | Skilled Nursing Facility | 675884 | TX | — |

## Other

- **Enumeration date:** 03/30/2014
- **Last updated:** 01/20/2018

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001025830 | — | TX |
| 05 | — | 5013 | — | TX |