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Organization

PM MANAGEMENT -CORSICANA NC II, LLC

Active
Other names
Heritage Oaks Retirement Village (ALF)
Organization subpart
No

Provider details

NPI number
Authorized official
MICHAEL BEAL (CHIEF EXECUTIVE OFFICER)
(214) 252-7600
Entity
Organization

Contact information

Practice address
3002 W 2ND AVE, CORSICANA, TX 75110-2492
(903) 872-5130
(903) 872-5949
Mailing address
600 N PEARL ST STE 1050, DALLAS, TX 75201-7495
(214) 252-7600

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
142141
TX

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
142141
TDADS FACILITY LICENSE
TX
Enumeration date
10/29/2015
Last updated
03/05/2020
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