# CWP HEALTHCARE OF EDGEWATER LLC

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

## Provider details

- **NPI number:** 1073742599
- **Authorized official:** CHARLES WILLIAM PUTNAM JR. (OWNER)
- **Authorized official phone:** (972) 818-7500

## Contact information

- **Practice address:** 2228 SEAWALL BLVD, GALVESTON, TX 77550-8940
- **Practice address phone:** (972) 818-7500
- **Practice address fax:** (972) 732-6644
- **Mailing address:** 5305 VILLAGE CREEK DR, PLANO, TX 75093-4810
- **Mailing address phone:** (972) 818-7500
- **Mailing address fax:** (972) 732-6644

## Taxonomy

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

## Other

- **Enumeration date:** 07/06/2009
- **Last updated:** 08/04/2009