Organization
CAMBRIDGE LTC PARTNERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS FREDERICK NICHOLSON III LNFA (PRESIDENT)
(832) 489-9944
Entity
Organization
Contact information
Practice address
1621 BUTLER DR, DIMMITT, TX 79027-2701
(806) 647-3117
(806) 647-5212
Mailing address
1621 BUTLER DR, DIMMITT, TX 79027-2701
(806) 647-3117
(806) 647-5212
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
122924
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001015400
—
TX
05
—
004948
—
TX
Enumeration date
11/16/2007
Last updated
01/12/2015
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