Organization
CEDAR LAKE NURSING HOME, INC.
Active
Other names
Cedar Lake Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORETTA LOUISE HUMBLE (GENERAL PARTNER)
(903) 489-1702
Entity
Organization
Contact information
Practice address
1611 W ROYALL BLVD, MALAKOFF, TX 75148-6202
(903) 489-1702
(903) 489-1703
Mailing address
PO BOX 1088, MALAKOFF, TX 75148-1088
(903) 489-1702
(903) 489-1703
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
000436301
TX
313M00000X
Nursing Facility/Intermediate Care Facility
—
TX
314000000X
Skilled Nursing Facility
Primary
675898
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000436301
—
TX
Enumeration date
01/18/2007
Last updated
03/04/2015
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us