# WOODVIEW HOME, INC.

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

## Provider details

- **NPI number:** 1174522213
- **Authorized official:** TOM C COBLE (OWNER)
- **Authorized official phone:** (580) 226-3055

## Contact information

- **Practice address:** 1630 3RD AVE NE, ARDMORE, OK 73401-7726
- **Practice address phone:** (580) 226-5454
- **Mailing address:** 1630 3RD AVE NE, ARDMORE, OK 73401-7726
- **Mailing address phone:** (580) 226-5454

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | NH1008-1008 | OK | Yes |

## Other

- **Enumeration date:** 07/20/2005
- **Last updated:** 01/20/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100774620A | — | OK |