Organization
WOODLAND MANOR NURSING AND REHABILITATION LP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAN D FLAGG (CEO)
(940) 387-4388
Entity
Organization
Contact information
Practice address
99 RIGBY OWEN RD, CONROE, TX 77304-1765
(936) 766-1240
(936) 760-3420
Mailing address
419 S ELM ST, DENTON, TX 76201-6085
(940) 387-4388
(940) 380-2410
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001004234
—
TX
01
—
159665201
TMHP (CROSS-OVER)
TX
Enumeration date
11/15/2005
Last updated
02/12/2019
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