Organization
WOODLAND PLACE MANAGEMENT, INC
Active
Organization
WOODLAND PLACE MANAGEMENT, INC
Active
Other names
Woodland Place - Clemmons
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SELBY RUSSELL JONES (PRESIDENT)
(919) 829-2499
Entity
Organization
Contact information
Practice address
6010 MEADOWBROOK MALL CT, CLEMMONS, NC 27012-9266
(336) 766-8050
(336) 766-8054
Mailing address
6010 MEADOWBROOK MALL CT, CLEMMONS, NC 27012-9266
(336) 766-8050
(336) 766-8054
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
HAL-034-073
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805244
—
NC
Enumeration date
03/15/2007
Last updated
08/22/2020
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