# CHP ISLE AT CEDAR RIDGE TX TENANT CORP.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Isle at Cedar Ridge
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336570274
- **Authorized official:** HOLLY J GREER (SECRETARY)
- **Authorized official phone:** (470) 540-7500

## Contact information

- **Practice address:** 2200 S LAKELINE BLVD, CEDAR PARK, TX 78613-4567
- **Practice address phone:** (512) 219-0200
- **Mailing address:** 2200 S LAKELINE BLVD, CEDAR PARK, TX 78613-4567
- **Mailing address phone:** (512) 219-0200

## Taxonomy

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

## Other

- **Enumeration date:** 12/03/2013
- **Last updated:** 02/17/2015