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Organization
WOODLAND SPRINGS NURSING CENTER INC
Active
Organization
WOODLAND SPRINGS NURSING CENTER INC
Active
Other names
Eventide Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAY BUMPASS LNHA (ADMINISTRATOR)
(254) 399-6788
Entity
Organization
Contact information
Practice address
1405 W STOREY ST, SAN SABA, TX 76877-6422
(254) 372-5112
(254) 372-5114
Mailing address
200 W HIGHWAY 6, SUITE 509, WACO, TX 76712-7923
(254) 399-6788
(254) 399-6766
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
114176
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140720701
—
TX
Enumeration date
09/12/2005
Last updated
01/06/2009
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