Organization
WOODBINE HEALTHCARE LLC
Active
Other names
Woodbine Healthcare and Rehabilitation Centre
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN LUDY (MANAGER)
(816) 453-1222
Entity
Organization
Contact information
Practice address
2900 NE KENDALLWOOD PKWY, GLADSTONE, MO 64119-1831
(816) 453-1222
(816) 452-5299
Mailing address
2900 NE KENDALLWOOD PKWY, GLADSTONE, MO 64119-1831
(816) 453-1222
(816) 452-5299
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
038446
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1942247481
—
MO
Enumeration date
06/01/2006
Last updated
08/06/2012
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