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Organization
WOODWORTH ENTERPRISES, INC.
Active
Organization
WOODWORTH ENTERPRISES, INC.
Active
Parent organization
WOODWORTH ENTERPRISES, INC
Other names
Elmhaven East
Organization subpart
Yes
Provider details
NPI number
Legal business name
WOODWORTH ENTERPRISES, INC
Authorized official
MR. BRAD WOODWORTH (GENERAL MANAGER)
(620) 421-2431
Entity
Organization
Contact information
Practice address
1400 S 15TH ST, PARSONS, KS 67357-5130
(620) 421-1430
(620) 421-1437
Mailing address
1217 S 15TH ST, PARSONS, KS 67357-5125
(620) 421-1430
(620) 421-1437
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N050008
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005136
TRADING PARTNER
KS
05
—
100109540A
—
KS
Enumeration date
05/23/2005
Last updated
02/03/2010
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