# PM MANAGEMENT-GEORGETOWN AL LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Park Place Assisted Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1952461493
- **Authorized official:** GREG MOORE (MANAGER)
- **Authorized official phone:** (512) 634-4900

## Contact information

- **Practice address:** 101 FM 971, GEORGETOWN, TX 78626-4546
- **Practice address phone:** (512) 930-0730
- **Practice address fax:** (512) 948-0006
- **Mailing address:** 8701 N MO PAC EXPY, SUITE 300, AUSTIN, TX 78759-8376
- **Mailing address phone:** (512) 634-4900
- **Mailing address fax:** (512) 634-4950

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 122277 | TX | Yes |

## Other

- **Enumeration date:** 12/12/2006
- **Last updated:** 05/19/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 000319 | FACILITY ID NO. | TX |