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Organization
CEDAR CREEK NURSING AND REHABILITATION CENTER, INC
Active
Organization
CEDAR CREEK NURSING AND REHABILITATION CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
UMSHAVENI GOVENDER (VICE PRESIDENT)
(972) 757-5115
Entity
Organization
Contact information
Practice address
159 MONTAGUE DRIVE, BANDERA, TX 78003
(830) 460-3767
(830) 796-4791
Mailing address
PO BOX 185159, FORT WORTH, TX 76181-0159
(972) 757-5115
(817) 284-0409
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001012682
—
TX
Enumeration date
02/07/2006
Last updated
06/13/2008
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