# WOODWARD NURSING CENTER LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Woodward Skilled Nursing & Therapy, GRACE LIVING CENTER - WOODWARD
- **Organization subpart:** No

## Provider details

- **NPI number:** 1528163383
- **Authorized official:** KRISTY DEROIN (DIRECTOR OF RCM)
- **Authorized official phone:** (405) 943-1144

## Contact information

- **Practice address:** 429 E DOWNS AVE, WOODWARD, OK 73801-6107
- **Practice address phone:** (580) 256-6448
- **Practice address fax:** (580) 256-5180
- **Mailing address:** 429 E DOWNS AVE, WOODWARD, OK 73801-6107
- **Mailing address phone:** (580) 256-6448
- **Mailing address fax:** (580) 256-5180

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | NH7003-7703 | OK | Yes |

## Other

- **Enumeration date:** 09/14/2006
- **Last updated:** 02/05/2026

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100810470B | — | OK |