Provider Demographics
NPI:1437300969
Name:STAMFORD ELDERLY HOUSING CORPORATION
Entity Type:Organization
Organization Name:STAMFORD ELDERLY HOUSING CORPORATION
Other - Org Name:SCOFIELD MANOR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:MAUREEN
Authorized Official - Middle Name:P
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:203-329-2388
Mailing Address - Street 1:614 SCOFIELDTOWN RD
Mailing Address - Street 2:
Mailing Address - City:STAMFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06903-2805
Mailing Address - Country:US
Mailing Address - Phone:203-329-2388
Mailing Address - Fax:203-329-2609
Practice Address - Street 1:614 SCOFIELDTOWN RD
Practice Address - Street 2:
Practice Address - City:STAMFORD
Practice Address - State:CT
Practice Address - Zip Code:06903-2805
Practice Address - Country:US
Practice Address - Phone:203-329-2388
Practice Address - Fax:203-329-2609
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STAMFORD HOUSING AUTHORITY
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-10-02
Last Update Date:2008-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT1822-RCH311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home