Organization
TEAGUE 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
884 US HIGHWAY 84 W, TEAGUE, TX 75860-5142
(254) 739-2541
(254) 739-5233
Mailing address
8505 TECHNOLOGY FOREST PL, SUITE 1004, THE WOODLANDS, TX 77381-1000
(281) 414-5744
(866) 354-8161
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
001025830
TX
314000000X
Skilled Nursing Facility
Primary
005013
TX
314000000X
Skilled Nursing Facility
675884
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001025830
—
TX
05
—
5013
—
TX
Enumeration date
03/30/2014
Last updated
01/20/2018
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