Fannin County Hospital Authority
Skilled Nursing Facility in Jefferson, TX. Organization (NPI-2).
NPI number1124495486
StatusActive
Last updated in NPPESAug 24, 2025
Details
- NPI
- 1124495486
- Entity type
- Organization (NPI-2)
- Legal business name
- Fannin County Hospital Authority
- Organization subpart
- No
- Enumeration date
- Aug 21, 2015
- Certification date
- Aug 24, 2025
- Last updated
- Aug 24, 2025
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | TX | Yes |
Other names
- Avir At Jefferson (Doing Business As)
Practice location
1307 Martin Luther King DrJefferson, TX 75657-1009
Phone 903-665-3951
Mailing address
1307 Martin Luther King DrJefferson, TX 75657-1009
Phone 903-583-8585
Authorized official
Clark Sanderson
President
9035831854
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