NPI 1063858298
Crockett Senior Care, LLC
Practice location
- Address
- 200 W State Hwy 6 Suite 612, Waco, TX 76712
- Phone
- (254) 399-6788
- Fax
- (254) 399-6766
- Mailing address
- 200 W State Highway 6 Suite 612, Waco, TX 76712-7923
Authorised official
- Name
- Jack Cook
- Title
- Member
- Phone
- (254) 399-6788
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1063858298
- Entity type
- Organization
- NPI issued
- 15 May 2013
- Record last updated
- 14 Apr 2015
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.