# CHG SENIOR LIVING PRESTON HOLLOW, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** CRYSTAL CREEK AT PRESTON HOLLOW
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063876118
- **Authorized official:** MR. KURT J. SCHULTZ (CFO)
- **Authorized official phone:** (469) 621-6700

## Contact information

- **Practice address:** 11409 N CENTRAL EXPY, DALLAS, TX 75243-6678
- **Practice address phone:** (214) 363-5100
- **Practice address fax:** (214) 363-5133
- **Mailing address:** 2200 ROSS AVE, SUITE 5400, DALLAS, TX 75201-2708
- **Mailing address phone:** (469) 621-6700
- **Mailing address fax:** (469) 621-6678

## Taxonomy

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

## Other

- **Enumeration date:** 04/05/2016
- **Last updated:** 03/28/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001027726 | — | TX |