# TEXAS AHCS 1, LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Hillside Plaza
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417029307
- **Authorized official:** ALAN D PETERSON LNFA (PRESIDENT)
- **Authorized official phone:** (817) 919-7435

## Contact information

- **Practice address:** 46 MAY STREET, WELLS, TX 75976
- **Practice address phone:** (936) 867-4707
- **Practice address fax:** (936) 867-4709
- **Mailing address:** 46 MAY STREET, WELLS, TX 75976
- **Mailing address phone:** (936) 867-4707
- **Mailing address fax:** (936) 867-4709

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 114912 | TX | Yes |

## Other

- **Enumeration date:** 11/15/2006
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 5619 | — | TX |