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Organization
STRATFORD HOSPITAL DISTRICT DBA COLDWATER MANOR
Active
Organization
STRATFORD HOSPITAL DISTRICT DBA COLDWATER MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK NELSON MOORE LNHFA (ADMINISTRATOR)
(806) 396-5568
Entity
Organization
Contact information
Practice address
1111 BEAVER RD., STRATFORD, TX 79084-1189
(806) 396-5568
(806) 396-5930
Mailing address
PO BOX 1189, 1111 BEAVER RD., STRATFORD, TX 79084-1189
(806) 396-5568
(806) 396-5930
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
005110
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000511001
—
TX
Enumeration date
03/07/2007
Last updated
02/11/2015
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