Provider Demographics
NPI:1306411061
Name:WINNIE-STOWELL HOSPITAL DISTRICT
Entity Type:Organization
Organization Name:WINNIE-STOWELL HOSPITAL DISTRICT
Other - Org Name:HARBOR LAKES NURSING AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHMN OF HOSP DIST BOARD
Authorized Official - Prefix:
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:MURRELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:409-296-1003
Mailing Address - Street 1:1780 HUGHES LANDING BLVD STE 500
Mailing Address - Street 2:
Mailing Address - City:THE WOODLANDS
Mailing Address - State:TX
Mailing Address - Zip Code:77380-4009
Mailing Address - Country:US
Mailing Address - Phone:281-419-5520
Mailing Address - Fax:281-419-5527
Practice Address - Street 1:1300 E 2ND ST
Practice Address - Street 2:
Practice Address - City:GRANBURY
Practice Address - State:TX
Practice Address - Zip Code:76048-1496
Practice Address - Country:US
Practice Address - Phone:817-408-3800
Practice Address - Fax:817-573-1634
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-25
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility