CEDAR LAKE NURSING SERVICES, INC
Agencies at Terry St, Log Cabin, TX

License number
Texas 1440
Category
Agencies
Type
Home Health
Owner
Name: MRS. LARI L SMILEY B.B.A.
Title: ADMINISTRATOR
Phone: (903) 489-2043
Address
Address
104 S Terry St, Log Cabin, TX 75148
National Provider ID: 1851354039
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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Cedar Lake Nursing Services Inc

Log Cabin, TX

Doing business as:
Hospice of Cedar Lake<br>Cedar Lake Home Health & Hospice<br>Cedar Lake Nursing Services, Inc
Registration:
Sep 26, 1983
Phone:
(903) 677-5999 (Phone)
Addresses:
PO Box 2025, Log Cabin, TX 75148
500 S Palestine St, Log Cabin, TX 75148
104 S Terry St, Log Cabin, TX 75148
State ID:
0067323300
Business type:
Domestic For-Profit Corporation
Owner, P, Directors:
Mary F. Williams (Director Of Surgery),Charlene Chadwick (Director , S),Douglas B. Humble (Director , VP, T),...
Agent:
Loretta L Humble,W Royall Blvd, Malakoff, TX (Physical)
TIN:
17519114379

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