# RIVERCREST NURSING AND REHAB, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1003851528
- **Authorized official:** MRS. TERI LYNNE EWING (PRESIDENT)
- **Authorized official phone:** (817) 857-1099

## Contact information

- **Practice address:** 120 WARDEN LN, SAN MARCOS, TX 78666-6532
- **Practice address phone:** (512) 353-8988
- **Practice address fax:** (512) 395-8974
- **Mailing address:** PO BOX 828, BEDFORD, TX 76095-0828
- **Mailing address phone:** (817) 857-1099
- **Mailing address fax:** (817) 857-1087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 111780 | TX | Yes |

## Other

- **Enumeration date:** 06/18/2006
- **Last updated:** 08/22/2020