Organization
PM MANAGEMENT - GOLDEN TRIANGLE NC IV LLC
Active
Other names
Lake Arthur Place
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BEAL (CHIEF EXECUTIVE OFFICER)
(214) 252-7600
Entity
Organization
Contact information
Practice address
4225 LAKE ARTHUR DR, PORT ARTHUR, TX 77642-6490
(409) 727-3193
(409) 727-4777
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
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
138973
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001019159
—
TX
01
—
005210
FACILITY ID
TX
Enumeration date
12/08/2010
Last updated
03/04/2020
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