Organization
CAMP HEALTHCARE PARTNERS LLC
Active
Other names
Country Trails Wellness & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
CHARLES G GLADNEY JR. (MANAGER)
(318) 281-0078
Entity
Organization
Contact information
Practice address
1638 VZ CR 1803, GRAND SALINE, TX 75140-3494
(903) 962-7595
(903) 962-7202
Mailing address
1523 TEXAS AVE, BASTROP, LA 71220-4043
(318) 281-0078
(318) 281-2753
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1026844
—
TX
Enumeration date
04/03/2015
Last updated
04/22/2015
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