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Organization
CRESTVIEW HH OPCO LLC
Active
Organization
CRESTVIEW HH OPCO LLC
Active
Other names
Crestview Healthcare Residence
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL LITTLE (MANAGER)
(512) 520-7320
Entity
Organization
Contact information
Practice address
1400 LAKE SHORE DR, WACO, TX 76708-3718
(254) 753-0291
Mailing address
1400 LAKE SHORE DR, WACO, TX 76708-3718
(254) 753-0291
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/17/2019
Last updated
07/17/2019
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