Organization
PM MANAGEMENT - PARK VALLEY NC LLC
Active
Other names
Park Valley Inn Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BEAL (CHIEF EXECUTIVE OFFICER)
(214) 252-7600
Entity
Organization
Contact information
Practice address
17751 PARK VALLEY DR, ROUND ROCK, TX 78681-3592
(512) 218-6000
(512) 716-0046
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
128377
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001016265
—
TX
01
—
103508
DADS FACILITY ID
TX
Enumeration date
03/14/2008
Last updated
03/04/2020
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