# PM MANAGEMENT-AUSTIN NC II, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gracy Woods II Living Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1467512004
- **Authorized official:** BENJAMIN M HANSON JR. (MANAGER)
- **Authorized official phone:** (512) 344-4235

## Contact information

- **Practice address:** 12042 BITTERN HOLW, AUSTIN, TX 78758-3350
- **Practice address phone:** (512) 228-3350
- **Practice address fax:** (512) 228-3369
- **Mailing address:** 1703 W 5TH ST, SUITE 800, AUSTIN, TX 78703-4893
- **Mailing address phone:** (512) 344-4235
- **Mailing address fax:** (877) 639-9530

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 122585 | TX | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 07/22/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001003644 | — | TX |
| 01 | — | 005356 | FACILITY ID NO. | TX |