Organization
PM MANAGEMENT-CORPUS CHRISTI NC II, LLC
Active
Other names
Trisun Care Center-River Ridge
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BEAL (CHIEF EXECUTIVE OFFICER)
(214) 252-7600
Entity
Organization
Contact information
Practice address
3922 W RIVER DR, CORPUS CHRISTI, TX 78410-5725
(361) 767-2000
(361) 767-2006
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
120860
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014377
—
TX
01
—
5351
FACILITY ID NO.
TX
Enumeration date
06/20/2006
Last updated
03/04/2020
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