# WOODLAND ENTERPRISES INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Woodland Convalescent Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063483337
- **Authorized official:** MR. BRYAN M CLAY (ADMINISTRATOR)
- **Authorized official phone:** (360) 794-9020

## Contact information

- **Practice address:** 310 4TH STREET, WOODLAND, WA 98674-8488
- **Practice address phone:** (360) 225-9443
- **Practice address fax:** (360) 225-3703
- **Mailing address:** P.O. BOX 69, WOODLAND, WA 98674-8488
- **Mailing address phone:** (360) 225-9443
- **Mailing address fax:** (360) 225-3703

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 749 | WA | Yes |

## Other

- **Enumeration date:** 01/27/2006
- **Last updated:** 03/28/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 41-74900 | — | WA |
| 05 | — | 4174900 | — | WA |