Organization
RIDGECREST RETIREMENT CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE HAWKER (CFO)
(210) 340-7155
Entity
Organization
Contact information
Practice address
1900 W STATE HIGHWAY 6, WACO, TX 76712-9729
(254) 776-9681
Mailing address
845 PROTON RD, SAN ANTONIO, TX 78258-4203
(210) 340-7155
(210) 340-4832
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
109945
TX
Other
Enumeration date
07/31/2006
Last updated
08/22/2020
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