Organization
BANDERA ELITE HOLDINGS, INC
Active
Other names
Cedar Creek Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
UMSHAVENI GOVENDER (VICE PRESIDENT)
(972) 757-5115
Entity
Organization
Contact information
Practice address
159 MONTAGUE AVE, BANDERA, TX 78003
(972) 757-5115
(817) 590-2948
Mailing address
PO BOX 185159, FORT WORTH, TX 76181-0159
(972) 757-5115
(817) 590-2948
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/02/2009
Last updated
06/26/2009
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