Organization
PM MANAGEMENT-CORPUS CHRISTI NC III, LLC
Active
Other names
Trisun Care Center-Westwood
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BEAL (CHIEF EXECUTIVE OFFICER)
(214) 252-7600
Entity
Organization
Contact information
Practice address
801 CANTWELL LN, CORPUS CHRISTI, TX 78408-2605
(361) 882-4284
(361) 882-6218
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
127204
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001014380
—
TX
01
—
5006
FACILITY ID NO.
TX
Enumeration date
06/20/2006
Last updated
03/04/2020
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