Organization
PM MANAGEMENT-WURZBACH NC LLC
Active
Other names
Trisun Care Center-Wurzbach
Organization subpart
No
Provider details
NPI number
Authorized official
LEW N LITTLE JR. (CEO)
(512) 634-4900
Entity
Organization
Contact information
Practice address
8300 WURZBACH RD, SAN ANTONIO, TX 78229-3321
(210) 614-1040
(210) 616-0369
Mailing address
1703 W. FIFTH ST, SUITE 700, AUSTIN, TX 78703
(512) 634-4900
(512) 634-4950
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
125949
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001012305
—
TX
01
—
005021
FACILITY ID NO.
TX
Enumeration date
12/11/2006
Last updated
08/28/2009
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