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Organization
PM MANAGEMENT-TEMPLE NC III LLC
Active
Organization
PM MANAGEMENT-TEMPLE NC III LLC
Active
Other names
Temple Living Center West
Organization subpart
No
Provider details
NPI number
Authorized official
LEW N LITTLE JR. (CEO)
(512) 634-4900
Entity
Organization
Contact information
Practice address
1700 MARLANDWOOD RD, TEMPLE, TX 76502-2842
(254) 773-1591
(254) 773-2922
Mailing address
1703 W. FIFTH ST, SUITE 700, AUSTIN, TX 78703
(512) 634-4900
(512) 634-4950
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
124456
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004739
—
TX
01
—
004785
FACILITY ID NO.
TX
Enumeration date
12/12/2006
Last updated
08/28/2009
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