Organization
AMBASSADOR MEDICAL SUPPLY OF TEXAS INC
Active
Other names
Community Care Center of Stamford
Organization subpart
No
Provider details
NPI number
Authorized official
JUSTIN FREEBOURN (PRESIDENT)
(940) 220-6440
Entity
Organization
Contact information
Practice address
1003 COLUMBIA STREET, STAMFORD, TX 79553
(325) 773-3671
(325) 773-5751
Mailing address
1714 TEASLEY LANE, DENTON, TX 76205
(940) 220-6440
(940) 220-6443
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
120372
TX
Other
Enumeration date
05/11/2006
Last updated
08/22/2020
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