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Organization
OCOEE FOUNDATION-CC LLC
Active
Organization
OCOEE FOUNDATION-CC LLC
Active
Other names
Woodbury Nursing and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MICHELLE HOLCOMBE (CFO)
(423) 834-3188
Entity
Organization
Contact information
Practice address
119 W HIGH ST, WOODBURY, TN 37190-1226
(615) 563-5930
(615) 563-4043
Mailing address
119 W HIGH ST, WOODBURY, TN 37190-1226
(615) 563-5930
(615) 563-4043
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
102
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0445435
—
TN
05
—
7440221
—
TN
Enumeration date
03/25/2008
Last updated
10/05/2021
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