# PM MANAGEMENT-TEMPLE NC IV LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Temple Living Center East
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366502213
- **Authorized official:** LEW N LITTLE JR. (CEO)
- **Authorized official phone:** (512) 634-4900

## Contact information

- **Practice address:** 1511 MARLANDWOOD RD, TEMPLE, TX 76502-3338
- **Practice address phone:** (254) 899-6500
- **Practice address fax:** (254) 899-6599
- **Mailing address:** 1703 W. FIFTH ST, SUITE 700, AUSTIN, TX 78703
- **Mailing address phone:** (512) 634-4900
- **Mailing address fax:** (512) 634-4950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 124554 | TX | Yes |

## Other

- **Enumeration date:** 12/11/2006
- **Last updated:** 08/28/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001004737 | — | TX |
| 01 | — | 005132 | FACILITY ID NO. | TX |