NPI
Cedar Lake Nursing Home, Inc.
Doing business as Cedar Lake Nursing Home. Phone (903) 489-1702 · Fax (903) 489-1703 · NPI 1134272859
Read from the NPPES registry on October 24, 2026.
Facts
- Status
- Active
- Type
- Organization
- Enumeration date
- 2007-01-18
- Last updated
- 2015-03-04
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Specialties
Licenses
- License TX
- Number not in the file
- License TX
- 000436301
- License TX
- 675898
Location
- Practice location
- 1611 W Royall Blvd
- City
- Malakoff TX
- Postal code
- 75148-6202
- Phone
- (903) 489-1702
- Fax
- (903) 489-1703
Organization contact
- Name
- Loretta Humble
- Title
- general partner
- Phone
- (903) 489-1702
Medicare
- PECOS
- No PECOS enrollment row matched this NPI.
LEIE
No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. Confirm on OIG's online search.
Nearby
Other NPIs in Malakoff, TX. 34 records in the public file.
Public data from NPPES and CMS. Not a credentialing determination.
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