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Organization
PM MANAGEMENT - GOLDEN TRIANGLE NC III LLC
Active
Organization
PM MANAGEMENT - GOLDEN TRIANGLE NC III LLC
Active
Other names
Cypress Glen
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BEAL (CHIEF EXECUTIVE OFFICER)
(214) 252-7600
Entity
Organization
Contact information
Practice address
7200 9TH AVE, PORT ARTHUR, TX 77642-6405
(409) 729-8701
(409) 729-5722
Mailing address
600 N PEARL ST STE 1050, DALLAS, TX 75201-7495
(214) 252-7600
(214) 252-7704
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
131482
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001019215
—
TX
01
—
050720
FACILITY ID
TX
Enumeration date
12/02/2010
Last updated
03/03/2020
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