Organization
CEDAR LAKE NURSING SERVICES, INC
Active
Organization
CEDAR LAKE NURSING SERVICES, INC
Active
Other names
CEDAR LAKE HOME HEALTH AND HOSPICE
Organization subpart
No
Provider details
NPI number
Authorized official
CYNTHIA ANN CALLOWAY RN (ADMINISTRATOR)
(903) 681-7406
Entity
Organization
Contact information
Practice address
218 PARK ST, TRINIDAD, TX 75163-6060
(903) 489-2044
(903) 489-2044
Mailing address
PO BOX 2025, MALAKOFF, TX 75148-2025
(903) 489-2043
(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
06/29/2026
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