Provider Demographics
NPI:1417173527
Name:STRATFORD ENTERPRISES, INC.
Entity Type:Organization
Organization Name:STRATFORD ENTERPRISES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REHAB SPECIALIST
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:E
Authorized Official - Last Name:STRATFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:740-403-4015
Mailing Address - Street 1:PO BOX 699
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:OH
Mailing Address - Zip Code:43025-0699
Mailing Address - Country:US
Mailing Address - Phone:740-403-4015
Mailing Address - Fax:
Practice Address - Street 1:421 AVON PL
Practice Address - Street 2:
Practice Address - City:THORNVILLE
Practice Address - State:OH
Practice Address - Zip Code:43076
Practice Address - Country:US
Practice Address - Phone:740-403-4015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes171WH0202XOther Service ProvidersContractorHome ModificationsGroup - Single Specialty