Organization
WOODLAND VILLAGE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON CHRISTENSEN (ADMINISTRATOR)
(920) 842-2191
Entity
Organization
Contact information
Practice address
430 MANOR DR, SURING, WI 54174-9182
(920) 842-2191
(920) 842-2176
Mailing address
430 MANOR DR, SURING, WI 54174-9182
(920) 842-2191
(920) 842-2176
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
2698
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20111200
—
WI
Enumeration date
06/24/2005
Last updated
11/04/2011
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