# WINNIE-STOWELL HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Park Manor of Conroe
- **Organization subpart:** No

## Provider details

- **NPI number:** 1669454963
- **Authorized official:** MR. LAURCE C. DASPIT (MANAGER)
- **Authorized official phone:** (281) 419-5520

## Contact information

- **Practice address:** 1600 GRAND LAKE DR, CONROE, TX 77304-2834
- **Practice address phone:** (936) 441-8266
- **Practice address fax:** (936) 441-2956
- **Mailing address:** 1780 HUGHES LANDING BLVD STE 500, THE WOODLANDS, TX 77380-4009
- **Mailing address phone:** (281) 419-5520
- **Mailing address fax:** (281) 419-5527

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 109288 | TX | Yes |

## Other

- **Enumeration date:** 11/14/2005
- **Last updated:** 06/14/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001003268 | — | TX |
| 05 | — | 001028728 | — | TX |
| 05 | — | 5422 | — | TX |