Organization
AHCS 3, LP
Active
Parent organization
AMICUS HEALTH CARE SERVICES 2, INC
Other names
Copper Creek Plaza
Organization subpart
Yes
Provider details
NPI number
Legal business name
AMICUS HEALTH CARE SERVICES 2, INC
Authorized official
MR. ALAN D PETERSON LNFA (PRESIDENT)
(817) 919-7495
Entity
Organization
Contact information
Practice address
302 PEARLSTONE STREET, BUFFALO, TX 75831
(903) 322-4208
(903) 322-3874
Mailing address
302 PEARLSTONE STREET, BUFFALO, TX 75831
(903) 322-4208
(903) 322-3874
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
117842
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004916
—
TX
Enumeration date
12/13/2007
Last updated
12/17/2007
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