Organization
WOODLAND SPRINGS NURSING CENTER INC
Active
Other names
Eventide Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL JAY BUMPASS LNHA (ADMINISTRATOR)
(254) 399-6788
Entity
Organization
Contact information
Practice address
1405 W STOREY ST, SAN SABA, TX 76877-6422
(254) 372-5112
(254) 372-5114
Mailing address
200 W HIGHWAY 6, SUITE 509, WACO, TX 76712-7923
(254) 399-6788
(254) 399-6766
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
114176
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
140720701
—
TX
Enumeration date
09/12/2005
Last updated
01/06/2009
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