# WOODWORTH ENTERPRISES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WOODWORTH ENTERPRISES, INC
- **Other names:** Elmhaven East
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1487657581
- **Legal business name:** WOODWORTH ENTERPRISES, INC
- **Authorized official:** MR. BRAD WOODWORTH (GENERAL MANAGER)
- **Authorized official phone:** (620) 421-2431

## Contact information

- **Practice address:** 1400 S 15TH ST, PARSONS, KS 67357-5130
- **Practice address phone:** (620) 421-1430
- **Practice address fax:** (620) 421-1437
- **Mailing address:** 1217 S 15TH ST, PARSONS, KS 67357-5125
- **Mailing address phone:** (620) 421-1430
- **Mailing address fax:** (620) 421-1437

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N050008 | KS | Yes |

## Other

- **Enumeration date:** 05/23/2005
- **Last updated:** 02/03/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 0005136 | TRADING PARTNER | KS |
| 05 | — | 100109540A | — | KS |