# FANNIN COUNTY HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cedar Creek Nursing and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1013874718
- **Authorized official:** ZACHARY WILLIG (LICENSING MANAGER)
- **Authorized official phone:** (580) 235-8804

## Contact information

- **Practice address:** 159 MONTAGUE DR, BANDERA, TX 78003-6230
- **Practice address phone:** (830) 460-3767
- **Practice address fax:** (682) 257-8669
- **Mailing address:** 4150 INTERNATIONAL PLZ STE 200, FORT WORTH, TX 76109-4875

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 01/06/2026
- **Last updated:** 01/06/2026