# WOODLAND VILLAGE 5301 TENANT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Woodland Village Nursing & Rehabilitation Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376542969
- **Authorized official:** MR. ALEX PALEY (COO)
- **Authorized official phone:** (914) 390-4363

## Contact information

- **Practice address:** 5301 TULLIS DR, NEW ORLEANS, LA 70131-8805
- **Practice address phone:** (504) 394-5807
- **Practice address fax:** (504) 394-5980
- **Mailing address:** 5301 TULLIS DR, NEW ORLEANS, LA 70131-8805
- **Mailing address phone:** (504) 394-5807
- **Mailing address fax:** (504) 394-5980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 791 | LA | Yes |

## Other

- **Enumeration date:** 07/18/2005
- **Last updated:** 02/12/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1510017 | — | LA |
