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Crestview Healthcare Residence Ltd

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

NPI number1508813601
StatusActive
Last updated in NPPESAug 22, 2020

Details

NPI
1508813601
Entity type
Organization (NPI-2)
Legal business name
Crestview Healthcare Residence Ltd
Organization subpart
No
Enumeration date
May 27, 2006
Last updated
Aug 22, 2020

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
314000000X Skilled Nursing Facility113045TXYes

Practice location

1400 Lake Shore Dr
Waco, TX 76708-3718

Phone 254-753-0291 · Fax 254-753-3343

Mailing address

2524 Austin Ave
Waco, TX 76710-7418

Phone 254-753-7367 · Fax 254-753-7367

Authorized official

Robert Scott Marwitz
President, Coo Chcr INC. Gen. Ptr.
2547537367

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