Organization
TEXAS AHCS 1, LP
Active
Other names
Hillside Plaza
Organization subpart
No
Provider details
NPI number
Authorized official
ALAN D PETERSON LNFA (PRESIDENT)
(817) 919-7435
Entity
Organization
Contact information
Practice address
46 MAY STREET, WELLS, TX 75976
(936) 867-4707
(936) 867-4709
Mailing address
46 MAY STREET, WELLS, TX 75976
(936) 867-4707
(936) 867-4709
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
114912
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5619
—
TX
Enumeration date
11/15/2006
Last updated
08/22/2020
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