Organization
PM MANAGEMENT-PORTLAND AL, LLC
Active
Other names
Trisun Assisted Living-Pavilion
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREW KERR (CHIEF FINANCIAL OFFICER)
(214) 252-7600
Entity
Organization
Contact information
Practice address
211 CEDAR DR, PORTLAND, TX 78374-2900
(361) 777-4250
(361) 777-2892
Mailing address
600 N PEARL ST, SUITE 1100, DALLAS, TX 75201-2822
(214) 252-7600
(214) 252-7704
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
118187
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010345
FACILITY ID NO.
TX
Enumeration date
10/27/2006
Last updated
05/19/2015
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