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Waco Healthcare Residence LLC

Skilled Nursing Facility in Waco, TX. Organization (NPI-2).

NPI number1164081352
StatusActive
Last updated in NPPESJun 11, 2019

Details

NPI
1164081352
Entity type
Organization (NPI-2)
Legal business name
Waco Healthcare Residence LLC
Organization subpart
No
Enumeration date
Jun 11, 2019
Last updated
Jun 11, 2019

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility––Yes

Other names

  • Crestview Nursing And Rehab Center (Doing Business As)

Practice location

1400 Lake Shore Dr
Waco, TX 76708-3718

Phone 254-753-0291 · Fax 254-753-3343

Mailing address

111 Clifton Ave
Lakewood, NJ 08701-3342

Phone 888-396-3462 · Fax 214-396-3462

Authorized official

Joe Neuman
Manager
8883963462

Is something wrong?

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