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Organization
PM MANAGEMENT - KILLEEN IV NC LLC
Active
Organization
PM MANAGEMENT - KILLEEN IV NC LLC
Active
Other names
Wind Crest Rehab and Nursing Center
Organization subpart
No
Provider details
NPI number
Authorized official
LEW N LITTLE JR. (MANAGER)
(512) 634-4900
Entity
Organization
Contact information
Practice address
607 W AVE B, COPPERAS COVE, TX 76522-1553
(254) 547-1033
(254) 542-3506
Mailing address
1703 W 5TH ST, SUITE 700, AUSTIN, TX 78703-4893
(512) 634-4900
(512) 634-4966
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
131729
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001019294
—
TX
01
—
005154
FACILITY ID
TX
Enumeration date
01/25/2011
Last updated
08/11/2011
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