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Organization
PM MANAGEMENT - EL PASO I NC LLC
Active
Organization
PM MANAGEMENT - EL PASO I NC LLC
Active
Other names
Trisun Care Center - Northeast El Paso
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BEAL (CHIEF EXECUTIVE OFFICER)
(214) 252-7600
Entity
Organization
Contact information
Practice address
11169 SEAN HAGGERTY, EL PASO, TX 79934
(915) 822-1128
(915) 822-1692
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
131949
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001019323
—
TX
01
—
104756
FACILITY ID
TX
Enumeration date
01/31/2011
Last updated
03/04/2020
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