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NPI Code Detail

MEDICARE: PM MANAGEMENT-BABCOCK NC LLC

MEDICARE: PM MANAGEMENT-BABCOCK NC LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility125844TX

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1004754OTHERTXFACILITY ID NO.
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1033279930
Entity Type Code : Organization
Provider Name (Legal Business Name) : PM MANAGEMENT-BABCOCK NC LLC
Provider Business Mailing Address
First Line : 600 N PEARL ST STE 1050
Second Line :
City : DALLAS
State : TX
Zip : 75201-7495
Country : US
Telephone Number : 214-252-7600
Fax Number : 214-252-7704
Provider Business Practice Location Address
First Line : 5756 N KNOLL
Second Line :
City : SAN ANTONIO
State : TX
Zip : 78240-2238
Country : US
Telephone Number : 210-321-5200
Fax Number : 210-321-5297
Authorized Official
Title or Position : CHIEF EXECUTIVE OFFICER
Name : MICHAEL BEAL
Credential :
Telephone Number : 214-252-7600
Provider Enumeration Date : 12/11/2006
Last Update Date : 03/04/2020

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Directions to “PM MANAGEMENT-BABCOCK NC LLC ” Practice Location

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