Organization
STAMFORD HOSPITAL DISTRICT
Active
Other names
Country Elegance
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM R LEE (MANAGER)
(325) 773-4805
Entity
Organization
Contact information
Practice address
1700 COLUMBIA ST, STAMFORD, TX 79553
(325) 773-5511
(325) 773-5522
Mailing address
1601 COLUMBIA ST, STAMFORD, TX 79553-6863
(325) 773-4805
(325) 773-4828
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
132325
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001025545
—
TX
Enumeration date
09/28/2011
Last updated
08/24/2020
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