# FMSC CLUTE OPERATING COMPANY LP

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Woodlake Nursing Home
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235102625
- **Authorized official:** MR. NELSON ROBAINA JR. B.S. (VP OF REIMBURSMENTS)
- **Authorized official phone:** (305) 892-1790

## Contact information

- **Practice address:** 603 E PLANTATION DR, CLUTE, TX 77531-5719
- **Practice address phone:** (979) 265-4221
- **Mailing address:** 11900 BISCAYNE BLVD SUITE 301, MIAMI, FL 33181
- **Mailing address phone:** (305) 892-1790

## Taxonomy

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

## Other

- **Enumeration date:** 02/08/2006
- **Last updated:** 08/22/2020