# PM MANAGEMENT - KILLEEN IV NC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wind Crest Rehab and Nursing Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083919856
- **Authorized official:** LEW N LITTLE JR. (MANAGER)
- **Authorized official phone:** (512) 634-4900

## Contact information

- **Practice address:** 607 W AVE B, COPPERAS COVE, TX 76522-1553
- **Practice address phone:** (254) 547-1033
- **Practice address fax:** (254) 542-3506
- **Mailing address:** 1703 W 5TH ST, SUITE 700, AUSTIN, TX 78703-4893
- **Mailing address phone:** (512) 634-4900
- **Mailing address fax:** (512) 634-4966

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 131729 | TX | Yes |

## Other

- **Enumeration date:** 01/25/2011
- **Last updated:** 08/11/2011

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001019294 | — | TX |
| 01 | — | 005154 | FACILITY ID | TX |