Organization
GROESBECK LTC PARTNERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LOUIS FREDERICK NICHOLSON III LNFA (CEO)
(832) 489-9944
Entity
Organization
Contact information
Practice address
607 PARKSIDE DR, GROESBECK, TX 76642-1124
(254) 729-3245
(254) 729-3788
Mailing address
607 PARKSIDE DR, GROESBECK, TX 76642-1124
(254) 729-3245
(254) 729-3788
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
124523
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001013528
—
TX
05
—
4909
—
TX
Enumeration date
07/07/2006
Last updated
01/12/2015
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