Organization
PM MANAGEMENT-GEORGETOWN AL LLC
Active
Other names
Park Place Assisted Living
Organization subpart
No
Provider details
NPI number
Authorized official
GREG MOORE (MANAGER)
(512) 634-4900
Entity
Organization
Contact information
Practice address
101 FM 971, GEORGETOWN, TX 78626-4546
(512) 930-0730
(512) 948-0006
Mailing address
8701 N MO PAC EXPY, SUITE 300, AUSTIN, TX 78759-8376
(512) 634-4900
(512) 634-4950
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
122277
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000319
FACILITY ID NO.
TX
Enumeration date
12/12/2006
Last updated
05/19/2009
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