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Organization
PM MANAGEMENT-GEORGETOWN NC LLC
Active
Organization
PM MANAGEMENT-GEORGETOWN NC LLC
Active
Other names
Park Place Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BEAL JR. (CHIEF EXECUTIVE OFFICER)
(214) 252-7600
Entity
Organization
Contact information
Practice address
121 FM 971, GEORGETOWN, TX 78626-4546
(512) 868-6200
(512) 869-4180
Mailing address
600 N PEARL ST STE 1050, DALLAS, TX 75201-7495
(214) 252-7600
(214) 252-7704
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
122659
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000536401
—
TX
01
—
005364
FACILITY ID NO.
TX
Enumeration date
12/12/2006
Last updated
03/04/2020
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