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Organization

WOODHAVEN MANOR NURSING HOME, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
NOEL DUNNAM (CFO)
(251) 743-3609
Entity
Organization

Contact information

Practice address
105 W WINDSOR ST, DEMOPOLIS, AL 36732-3617
(334) 289-2741
(334) 289-0416
Mailing address
501 WHETSTONE ST, MONROEVILLE, AL 36460-2615
(251) 743-3609
(251) 575-5618

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
12619
AL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
4754320S
AL
Enumeration date
03/22/2006
Last updated
03/06/2024
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