# CAMP HEALTHCARE PARTNERS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Country Trails Wellness & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1861887101
- **Authorized official:** CHARLES G GLADNEY JR. (MANAGER)
- **Authorized official phone:** (318) 281-0078

## Contact information

- **Practice address:** 1638 VZ CR 1803, GRAND SALINE, TX 75140-3494
- **Practice address phone:** (903) 962-7595
- **Practice address fax:** (903) 962-7202
- **Mailing address:** 1523 TEXAS AVE, BASTROP, LA 71220-4043
- **Mailing address phone:** (318) 281-0078
- **Mailing address fax:** (318) 281-2753

## Taxonomy

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

## Other

- **Enumeration date:** 04/03/2015
- **Last updated:** 04/22/2015

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1026844 | — | TX |