# WOODGATE SENIOR CARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wesley Woods
- **Organization subpart:** No

## Provider details

- **NPI number:** 1609381987
- **Authorized official:** JACK COOK (MEMBER)
- **Authorized official phone:** (254) 741-5929

## Contact information

- **Practice address:** 1700 WOODGATE DR, WACO, TX 76712-8600
- **Practice address phone:** (254) 741-5929
- **Practice address fax:** (254) 741-5928
- **Mailing address:** PO BOX 23648, WACO, TX 76702-3648
- **Mailing address phone:** (254) 741-5929
- **Mailing address fax:** (254) 741-5928

## Taxonomy

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

## Other

- **Enumeration date:** 12/07/2017
- **Last updated:** 12/07/2017