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Organization
PM MANAGEMENT-AUSTIN NC II, LLC
Active
Organization
PM MANAGEMENT-AUSTIN NC II, LLC
Active
Other names
Gracy Woods II Living Center
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN M HANSON JR. (MANAGER)
(512) 344-4235
Entity
Organization
Contact information
Practice address
12042 BITTERN HOLW, AUSTIN, TX 78758-3350
(512) 228-3350
(512) 228-3369
Mailing address
1703 W 5TH ST, SUITE 800, AUSTIN, TX 78703-4893
(512) 344-4235
(877) 639-9530
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
122585
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001003644
—
TX
01
—
005356
FACILITY ID NO.
TX
Enumeration date
12/12/2006
Last updated
07/22/2014
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