Organization
WOOD MEMORIAL HOSPITAL & NURSING HOME INC
Active
Other names
WOOD MEMORIAL NURSING HOME
Organization subpart
No
Provider details
NPI number
Authorized official
DR. STEPHEN COHEN (VICE PRESIDENT)
(903) 569-9023
Entity
Organization
Contact information
Practice address
320 GREENVILLE AVE, MINEOLA, TX 75773-1032
(903) 569-9023
(903) 569-3852
Mailing address
320 GREENVILLE AVE, MINEOLA, TX 75773-1032
(903) 569-3852
(903) 569-1168
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
108653
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00439602
—
TX
05
—
094182501
—
TX
Enumeration date
05/24/2005
Last updated
11/04/2010
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