Organization
WEST TEXAS 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
1915 GREENWOOD ST, SAN ANGELO, TX 76901-1112
(325) 942-0677
(325) 942-1331
Mailing address
1915 GREENWOOD ST, SAN ANGELO, TX 76901-1112
(325) 942-0677
(325) 942-1331
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
001016152
TX
314000000X
Skilled Nursing Facility
Primary
124667
TX
314000000X
Skilled Nursing Facility
5236
TX
314000000X
Skilled Nursing Facility
676068
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001016152
—
TX
05
—
5236
—
TX
Enumeration date
05/08/2008
Last updated
01/20/2018
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