Organization
WOODLAWN RETIREMENT HOME
Active
Parent organization
SENIOR CITIZENS HOME INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
SENIOR CITIZENS HOME INC
Authorized official
MR. HERMAN DAVIS III (ADMINISTRATOR)
(252) 492-0066
Entity
Organization
Contact information
Practice address
2171 RUIN CREEK RD, HENDERSON, NC 27537-8735
(252) 492-0066
Mailing address
2275 RUIN CREEK RD, HENDERSON, NC 27537-8732
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-091-003
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7801463
—
NC
Enumeration date
07/05/2006
Last updated
06/19/2008
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