# STRATFORD HOSPITAL DISTRICT

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legacy Rehabilitation and Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1760720684
- **Authorized official:** SOON BURNAM (AUTHORIZED AGENT)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 4033 W 51ST AVE, AMARILLO, TX 79109-6129
- **Practice address phone:** (806) 355-4488
- **Practice address fax:** (806) 353-0885
- **Mailing address:** 4033 W 51ST AVE, AMARILLO, TX 79109-6129
- **Mailing address phone:** (806) 355-4488
- **Mailing address fax:** (806) 353-0885

## Taxonomy

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

## Other

- **Enumeration date:** 01/28/2013
- **Last updated:** 02/09/2015