Organization
STRATFORD HOSPITAL DISTRICT
Active
Other names
Lakeside Rehabilitation and Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD CHUMLEY (PRESIDENT)
(806) 396-5568
Entity
Organization
Contact information
Practice address
4306 24TH ST, LUBBOCK, TX 79410-1818
(806) 793-2555
Mailing address
1111 BEAVER ROAD, STRATFORD, TX 79084
(806) 396-2844
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001015201
—
TX
Enumeration date
06/28/2007
Last updated
06/15/2020
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