Organization
PM MANAGEMENT - CEDAR PARK NC LLC
Active
Other names
Cottonwood Creek Nursing and Rehabilitatioin Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BEAL (CHIEF EXECUTIVE OFFICER)
(214) 252-7600
Entity
Organization
Contact information
Practice address
1500 COTTONWOOD CREEK TRL, CEDAR PARK, TX 78613-7555
(512) 259-4259
(512) 259-2248
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
135708
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001020464
—
TX
Enumeration date
04/23/2012
Last updated
03/04/2020
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