Organization
PM MANAGEMENT CORSICANA NC II LLC
Active
Other names
Heritage Oaks Retirement Village
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL BEAL (CHIEF EXECUTIVE OFFICER)
(214) 252-7600
Entity
Organization
Contact information
Practice address
3002 W 2ND AVE, CORSICANA, TX 75110-2492
(903) 872-1530
(903) 872-5949
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
310400000X
Assisted Living Facility
132227
TX
314000000X
Skilled Nursing Facility
Primary
131490
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001019214
—
TX
01
—
005357
FACILITY ID
TX
Enumeration date
12/02/2010
Last updated
03/05/2020
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