# FANNIN COUNTY HOSPITAL AUTHORITY

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Cedar Lake Nursing Center, Cedar Lake Wellness & Rehabilitation
- **Organization subpart:** No

## Provider details

- **NPI number:** 1639945280
- **Authorized official:** DENVER SHEDDY (MANAGER)
- **Authorized official phone:** (903) 583-1854

## Contact information

- **Practice address:** 1611 W ROYALL BLVD, MALAKOFF, TX 75148-6202
- **Practice address phone:** (903) 489-1702
- **Mailing address:** 1611 W ROYALL BLVD, MALAKOFF, TX 75148-6202
- **Mailing address phone:** (903) 489-1702

## Taxonomy

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

## Other

- **Enumeration date:** 11/27/2023
- **Last updated:** 08/12/2026