Organization
RIDGECREST RETIREMENT CENTER, LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MIKE HAWKER (CHIEF FINANCIAL OFFICER)
(210) 340-7155
Entity
Organization
Contact information
Practice address
1900 W HIGHWAY 6, WACO, TX 76712-9729
(254) 776-9681
(254) 776-7960
Mailing address
845 PROTON RD, SAN ANTONIO, TX 78258-4203
(210) 582-3716
(210) 582-3816
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
109995
TX
Other
Enumeration date
12/06/2005
Last updated
08/22/2020
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