# CWP HEALTHCARE OP LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Manda Ann Convalescent Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1124421979
- **Authorized official:** CHARLES PUTNAM (MANAGER)
- **Authorized official phone:** (972) 818-7500

## Contact information

- **Practice address:** 7441 COFFEE ST, HOUSTON, TX 77033-3455
- **Practice address phone:** (713) 733-9471
- **Practice address fax:** (713) 733-6597
- **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:** 10/07/2014
- **Last updated:** 10/22/2014