# PM MANAGEMENT - LEWISVILLE NC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Vista Ridge Nursing & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174854236
- **Authorized official:** CAMERAN JORDAN (RECEIVER)
- **Authorized official phone:** (615) 542-7423

## Contact information

- **Practice address:** 700 E VISTA RIDGE MALL DR, LEWISVILLE, TX 75067-8339
- **Practice address phone:** (972) 906-9789
- **Practice address fax:** (972) 956-9491
- **Mailing address:** 700 E VISTA RIDGE MALL DR, LEWISVILLE, TX 75067-8339
- **Mailing address phone:** (972) 906-9789

## Taxonomy

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

## Other

- **Enumeration date:** 01/28/2010
- **Last updated:** 05/28/2024