Organization
SSC MONTGOMERY WOODLEY MANOR OPR CO. LLC
Active
Other names
Woodley Manor Health and Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
KELLE C SANTORO (SR DIRECTOR AR)
(832) 467-5728
Entity
Organization
Contact information
Practice address
3312 WOODLEY RD, MONTGOMERY, AL 36116-3155
(334) 288-2780
(334) 288-7217
Mailing address
5300 W SAM HOUSTON PKWY N, SUITE 100, HOUSTON, TX 77041-5161
(832) 467-6000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
12656
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4750370S
—
AL
Enumeration date
08/23/2006
Last updated
04/09/2015
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