Healthcare Provider Details

I. General information

NPI: 1659327492
Provider Name (Legal Business Name): WESTERN HILLS HEALTHCARE RESIDENCE LTD.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

400 OLD SIDNEY RD
COMANCHE TX
76442-2137
US

IV. Provider business mailing address

2524 AUSTIN AVE
WACO TX
76710-7418
US

V. Phone/Fax

Practice location:
  • Phone: 325-356-2571
  • Fax: 325-356-2716
Mailing address:
  • Phone: 254-753-7367
  • Fax: 254-753-5776

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number112921
License Number StateTX

VIII. Authorized Official

Name: MR. ROBERT SCOTT MARWITZ
Title or Position: PRESIDENT, COO WHCR INC. GEN. PTR.
Credential:
Phone: 254-753-7367