Organization
WOODLAND ENTERPRISES INC
Active
Other names
Woodland Convalescent Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRYAN M CLAY (ADMINISTRATOR)
(360) 794-9020
Entity
Organization
Contact information
Practice address
310 4TH STREET, WOODLAND, WA 98674-8488
(360) 225-9443
(360) 225-3703
Mailing address
P.O. BOX 69, WOODLAND, WA 98674-8488
(360) 225-9443
(360) 225-3703
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
749
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
41-74900
—
WA
05
—
4174900
—
WA
Enumeration date
01/27/2006
Last updated
03/28/2012
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