# PM MANAGEMENT CORSICANA NC II LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heritage Oaks Retirement Village
- **Organization subpart:** No

## Provider details

- **NPI number:** 1891097432
- **Authorized official:** MICHAEL BEAL (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (214) 252-7600

## Contact information

- **Practice address:** 3002 W 2ND AVE, CORSICANA, TX 75110-2492
- **Practice address phone:** (903) 872-1530
- **Practice address fax:** (903) 872-5949
- **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 |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 132227 | TX | — |
| 314000000X | Skilled Nursing Facility | 131490 | TX | Yes |

## Other

- **Enumeration date:** 12/02/2010
- **Last updated:** 03/05/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001019214 | — | TX |
| 01 | — | 005357 | FACILITY ID | TX |