# PINNACLE HEALTH FACILITIES XXX LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** San Jacinto Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1306071477
- **Authorized official:** MRS. JAMIE LATTURE COLLIER (DIRECTOR OF REIMBURSEMENT)
- **Authorized official phone:** (972) 931-3800

## Contact information

- **Practice address:** 206 W P ST, DEER PARK, TX 77536-4802
- **Practice address phone:** (281) 479-8471
- **Practice address fax:** (281) 479-8215
- **Mailing address:** 5420 W PLANO PKWY, PLANO, TX 75093-4823
- **Mailing address phone:** (972) 930-8122
- **Mailing address fax:** (972) 767-6222

## Taxonomy

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

## Other

- **Enumeration date:** 05/19/2009
- **Last updated:** 01/12/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001017145 | — | TX |