# RIDGECREST RETIREMENT CENTER, LTD

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

## Provider details

- **NPI number:** 1407830144
- **Authorized official:** MIKE HAWKER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (210) 340-7155

## Contact information

- **Practice address:** 1900 W HIGHWAY 6, WACO, TX 76712-9729
- **Practice address phone:** (254) 776-9681
- **Practice address fax:** (254) 776-7960
- **Mailing address:** 845 PROTON RD, SAN ANTONIO, TX 78258-4203
- **Mailing address phone:** (210) 582-3716
- **Mailing address fax:** (210) 582-3816

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 109995 | TX | Yes |

## Other

- **Enumeration date:** 12/06/2005
- **Last updated:** 08/22/2020