# PLEASANTMANOR SCC LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Pleasant Manor Health and Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1194960856
- **Authorized official:** MICHAEL BEAL (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (214) 252-7600

## Contact information

- **Practice address:** 3650 S I 35, WAXAHACHIE, TX 75165-5427
- **Practice address phone:** (972) 935-0090
- **Practice address fax:** (972) 937-9053
- **Mailing address:** 600 N PEARL ST STE 1050, DALLAS, TX 75201-7495
- **Mailing address phone:** (214) 252-7600
- **Mailing address fax:** (214) 252-7704

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 126897 | TX | Yes |

## Other

- **Enumeration date:** 12/10/2008
- **Last updated:** 03/04/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001016943 | — | TX |