# CRESTVIEW HEALTHCARE RESIDENCE LTD

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

## Provider details

- **NPI number:** 1508813601
- **Authorized official:** MR. ROBERT SCOTT MARWITZ (PRESIDENT, COO CHCR INC. GEN. PTR.)
- **Authorized official phone:** (254) 753-7367

## Contact information

- **Practice address:** 1400 LAKE SHORE DR, WACO, TX 76708-3718
- **Practice address phone:** (254) 753-0291
- **Practice address fax:** (254) 753-3343
- **Mailing address:** 2524 AUSTIN AVE, WACO, TX 76710-7418
- **Mailing address phone:** (254) 753-7367
- **Mailing address fax:** (254) 753-7367

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 113045 | TX | Yes |

## Other

- **Enumeration date:** 05/27/2006
- **Last updated:** 08/22/2020