Organization · Type 2 NPI
Sagebrush Living Center Ltd
Mental Illness Intermediate Care Facility · Stamford, TX
NPI number
1174589683
Active
Practice location
1101 Columbia
Stamford, TX 79553
Mailing address
845 Proton Rd
San Antonio, TX 78258-4203
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Illness Intermediate Care Facility Primary | 310500000X | 003705 (TX) |
Mental Illness Intermediate Care Facility: A nursing facility that provides an intermediate level of nursing care to individuals whose functional abilities are significantly compromise by mental illness.
About NPI 1174589683
Sagebrush Living Center Ltd's National Provider Identifier is 1174589683, issued on Apr 24, 2006. The primary taxonomy on file is Mental Illness Intermediate Care Facility (310500000X), and the practice location is in Stamford, TX. The record was last updated on Aug 22, 2020.