Organization
BANDERA I ENTERPRISES, LLC
Active
Other names
Cedar Creek Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY BLAKE (MANAGING MEMBER)
(817) 348-8959
Entity
Organization
Contact information
Practice address
159 MONTAGUE AVE, BANDERA, TX 78003-0000
(830) 460-3767
(830) 796-4791
Mailing address
159 MONTAGUE AVE, BANDERA, TX 78003-0000
(830) 460-3767
(830) 796-4791
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001021028
—
TX
01
—
004537
DADS FACID
TX
Enumeration date
01/25/2013
Last updated
08/30/2021
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us