Basic Information
| Provider Information | |||||||||
| NPI: | 1518689900 | ||||||||
| EntityType: | 2 | ||||||||
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| OrganizationName: | WOODLAND SNF OPERATIONS LLC | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1900 OLIVE ST SW | ||||||||
| Address2: | |||||||||
| City: | CULLMAN | ||||||||
| State: | AL | ||||||||
| PostalCode: | 350557202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2567391430 | ||||||||
| FaxNumber: | 2567350708 | ||||||||
| Practice Location | |||||||||
| Address1: | 1900 OLIVE ST SW | ||||||||
| Address2: | |||||||||
| City: | CULLMAN | ||||||||
| State: | AL | ||||||||
| PostalCode: | 350557202 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2567391430 | ||||||||
| FaxNumber: | 2567350708 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 09/13/2022 | ||||||||
| LastUpdateDate: | 09/13/2022 | ||||||||
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| AuthorizedOfficialLastName: | STRAUSS | ||||||||
| AuthorizedOfficialFirstName: | SUSAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | MANAGER | ||||||||
| AuthorizedOfficialTelephone: | 7329951700 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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| NPICertificationDate: | 09/09/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 314000000X | Y | Nursing & Custodial Care Facilities | Skilled Nursing Facility |
No ID Information.