# WOODLAND PLACE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063493872
- **Authorized official:** MR. DREW C PIERCE CPA (CHIEF OPERATING OFFICER)
- **Authorized official phone:** (724) 662-5400

## Contact information

- **Practice address:** 745 GREENVILLE RD, MERCER, PA 16137-5023
- **Practice address phone:** (724) 662-5400
- **Practice address fax:** (724) 662-2043
- **Mailing address:** 745 GREENVILLE RD, MERCER, PA 16137-5023
- **Mailing address phone:** (724) 662-5400
- **Mailing address fax:** (724) 662-2043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 132402 | PA | Yes |

## Other

- **Enumeration date:** 11/09/2005
- **Last updated:** 01/04/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001279 | HIGHMARK MANAGED CARE | PA |
| 05 | — | 0016782520001 | — | PA |
| 01 | — | V0044A | UPMC MANAGED CARE | PA |