Organization
TEXAS AHCS 2, LP
Active
Other names
Park Plaza
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN D PETERSON LNFA (PRESIDENT)
(817) 919-7495
Entity
Organization
Contact information
Practice address
1201 E MCLENNAN AVE, MART, TX 76664-1232
(254) 876-2531
Mailing address
1201 E MCLENNAN AVE, MART, TX 76664-1232
(254) 876-2531
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
115304
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4482
—
TX
Enumeration date
11/14/2006
Last updated
08/22/2020
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