Organization
DESOTO LTC PARTNERS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUIS FREDERICK NICHOLSON III (CEO)
(832) 489-9944
Entity
Organization
Contact information
Practice address
1101 N HAMPTON RD, DESOTO, TX 75115-3951
(979) 223-3944
(866) 354-8161
Mailing address
1101 N HAMPTON RD, DESOTO, TX 75115-3951
(979) 223-3944
(866) 354-8161
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5116
TX
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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