# WOODLAND MANOR NURSING AND REHABILITATION LP

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

## Provider details

- **NPI number:** 1225010481
- **Authorized official:** MR. DAN D FLAGG (CEO)
- **Authorized official phone:** (940) 387-4388

## Contact information

- **Practice address:** 99 RIGBY OWEN RD, CONROE, TX 77304-1765
- **Practice address phone:** (936) 766-1240
- **Practice address fax:** (936) 760-3420
- **Mailing address:** 419 S ELM ST, DENTON, TX 76201-6085
- **Mailing address phone:** (940) 387-4388
- **Mailing address fax:** (940) 380-2410

## Taxonomy

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

## Other

- **Enumeration date:** 11/15/2005
- **Last updated:** 02/12/2019

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 001004234 | — | TX |
| 01 | — | 159665201 | TMHP (CROSS-OVER) | TX |