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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