Organization
WOODLAND MANOR LIMITED PARTNERSHIP
Active
Other names
Eaglewood Village Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH V GULLING NHA (VICE PRESIDENT, AGENT FOR WOODLAND)
(937) 399-7195
Entity
Organization
Contact information
Practice address
2000 VILLA RD, SPRINGFIELD, OH 45503-1761
(937) 399-7195
(937) 399-1474
Mailing address
2000 VILLA RD, SPRINGFIELD, OH 45503-1761
(937) 399-7195
(937) 399-1474
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
5012
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0628566
—
OH
Enumeration date
03/15/2007
Last updated
07/01/2011
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