Organization
WOODLAND HEALTH CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LOUISA WINGET (PRESIDENT)
(478) 405-0454
Entity
Organization
Contact information
Practice address
652 N COASTAL HWY 17, MIDWAY, GA 31320
(912) 884-3361
(912) 884-5730
Mailing address
PO BOX 270, MIDWAY, GA 31320
(912) 884-3361
(912) 884-5730
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
10891823
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00141985A
—
GA
Enumeration date
01/31/2006
Last updated
08/22/2020
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