# PM MANAGEMENT - GOLDEN TRIANGLE NC IV LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Lake Arthur Place
- **Organization subpart:** No

## Provider details

- **NPI number:** 1437452778
- **Authorized official:** MICHAEL BEAL (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (214) 252-7600

## Contact information

- **Practice address:** 4225 LAKE ARTHUR DR, PORT ARTHUR, TX 77642-6490
- **Practice address phone:** (409) 727-3193
- **Practice address fax:** (409) 727-4777
- **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 |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | 138973 | TX | Yes |

## Other

- **Enumeration date:** 12/08/2010
- **Last updated:** 03/04/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001019159 | — | TX |
| 01 | — | 005210 | FACILITY ID | TX |