Organization
PLEASANTMANOR SCC LLC
Active
Other names
Pleasant Manor Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BEAL (CHIEF EXECUTIVE OFFICER)
(214) 252-7600
Entity
Organization
Contact information
Practice address
3650 S I 35, WAXAHACHIE, TX 75165-5427
(972) 935-0090
(972) 937-9053
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
126897
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001016943
—
TX
Enumeration date
12/10/2008
Last updated
03/04/2020
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