Organization
WOODLAND PLACE MANAGEMENT, INC
Active
Other names
Woodland Place - Greensboro
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAY MAHAN (PRESIDENT)
(919) 829-2482
Entity
Organization
Contact information
Practice address
1915 BOULEVARD ST, GREENSBORO, NC 27407-4513
(336) 855-1414
(336) 855-7455
Mailing address
1915 BOULEVARD ST, GREENSBORO, NC 27407-4513
(336) 855-1414
(336) 855-7455
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-041-053
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805299
—
NC
Enumeration date
03/15/2007
Last updated
08/22/2020
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