Organization
STAMFORD TX MANAGEMENT LLC
Active
Other names
Stamford Residence and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP FRIEDMAN (MEMBER)
(516) 596-5522
Entity
Organization
Contact information
Practice address
1003 COLUMBIA ST, STAMFORD, TX 79553-6825
(325) 773-3671
(325) 773-5751
Mailing address
1003 COLUMBIA ST, STAMFORD, TX 79553-6825
(325) 773-3671
(325) 773-5751
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
004930
—
TX
Enumeration date
06/18/2014
Last updated
10/30/2017
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