Organization
THE WOODLANDS OF MARYLAND HEIGHTS LLC
Active
Parent organization
RILEY SPENCE
Organization subpart
Yes
Provider details
NPI number
Legal business name
RILEY SPENCE
Authorized official
MR. CHARLES J RILEY (MEMEBER)
(636) 349-2311
Entity
Organization
Contact information
Practice address
3201 PARKWOOD LN, MARYLAND HEIGHTS, MO 63043-1334
(314) 291-5911
(314) 291-3576
Mailing address
1749 GILSINN LN, FENTON, MO 63026-2003
(636) 349-2311
(636) 349-6491
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101475903
—
MO
Enumeration date
12/12/2006
Last updated
04/14/2014
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