Organization
CEDAR LAKE NURSING SERVICES, INC
Active
Other names
CEDAR LAKE HOME HEALTH AND HOSPICE
Organization subpart
No
Provider details
NPI number
Authorized official
MARY NORWOOD (BOARD MEMBER)
(903) 292-7467
Entity
Organization
Contact information
Practice address
218 PARK ST, TRINIDAD, TX 75163-6060
(903) 489-2044
(903) 489-2044
Mailing address
P.O. BOX 2025, MALAKOFF, TX 75148
(903) 489-2023
(903) 489-2044
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
1440
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000205800
—
TX
01
—
HH6837
BLUE CROSS AND BLUE SHIEL
TX
01
—
HH6838
BCBS OF TEXAS
TX
01
—
HH6962
BCBS OF TEXAS
TX
01
—
HH6996
BCBS OF TEXAS
TX
Enumeration date
03/27/2008
Last updated
10/02/2024
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