Organization
WOODLANDS EXTENDED CARE INC
Active
Other names
Woodlands Terrace Extended Care
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DONNA J MARSH (BOOKKEEPER)
(386) 255-1054
Entity
Organization
Contact information
Practice address
120 W CHIPOLA AVE, DELAND, FL 32720-7704
(386) 738-3433
(386) 740-8308
Mailing address
120 W CHIPOLA AVE, DELAND, FL 32720-7704
(386) 738-3433
(386) 740-8308
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
16490961
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
021263600
—
FL
Enumeration date
03/16/2006
Last updated
04/25/2012
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