Organization
PM MANAGEMENT - CORSICANA NC LLC
Active
Other names
Trisun Care Center - Corsicana
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BEAL (CHIEF EXECUTIVE OFFICER)
(214) 252-7600
Entity
Organization
Contact information
Practice address
3210 W STATE HIGHWAY 22, CORSICANA, TX 75110-2449
(903) 872-4880
(903) 641-0391
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
132867
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001019862
—
TX
01
—
104875
FAC. ID
TX
Enumeration date
01/06/2010
Last updated
03/04/2020
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