Organization
FANNIN COUNTY HOSPITAL AUTHORITY
Active
Other names
Lakeshore Village Nursing and Rehabilitation.
Organization subpart
No
Provider details
NPI number
Authorized official
CLARK SANDERSON (BOARD PRESIDENT)
(817) 372-7224
Entity
Organization
Contact information
Practice address
2320 LAKE SHORE DR, WACO, TX 76708-1276
(254) 752-1075
Mailing address
2320 LAKE SHORE DR, WACO, TX 76708-1276
(254) 752-1075
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
118078
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001013373
—
TX
Enumeration date
04/02/2007
Last updated
06/15/2025
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