COUNTRY ELEGANCE - NPI 1124302955 - Assisted Living Facility in Stamford, TX

Q: What is the provider's specialty?

The provider's specialty is Assisted Living Facility with taxonomy code 310400000X.

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About Country Elegance NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

COUNTRY ELEGANCE (NPI 1124302955) is a healthcare organization registered as an assisted living facility in Stamford, Texas and active in the NPI registry since September 2011. The organization lists William R Lee, Manager, as its authorized official.

NPPES Registry Identity

NPI1124302955

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameSTAMFORD HOSPITAL DISTRICT

Location Address1700 COLUMBIA STStamford, TX 79553

Mailing Address1601 Columbia StStamford, TX 79553-6863 · (325) 773-4805 · Fax (325) 773-4828

Phone(325) 773-5511

Fax(325) 773-5522

Organization SubpartNo

Authorized OfficialWilliam R LeeManager · (325) 773-4805

Enumeration DateSeptember 28, 2011

Last NPPES UpdateAugust 24, 2020

NPPES CertifiedAugust 24, 2020

✔ NPI 1124302955 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in TX · 132325

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

1700 COLUMBIA ST, Stamford, TX 79553

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