Provider Demographics
NPI:1003890880
Name:SW MANAGEMENT GROUP INC
Entity Type:Organization
Organization Name:SW MANAGEMENT GROUP INC
Other - Org Name:WOODLANDS NURSING AND REHABILITATION CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:A
Authorized Official - Last Name:SCHMIDLIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-822-0515
Mailing Address - Street 1:400 PELT DR
Mailing Address - Street 2:
Mailing Address - City:FAYETTEVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:28301-3412
Mailing Address - Country:US
Mailing Address - Phone:910-822-0515
Mailing Address - Fax:910-822-0535
Practice Address - Street 1:400 PELT DR
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28301-3412
Practice Address - Country:US
Practice Address - Phone:910-822-0515
Practice Address - Fax:910-822-0535
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2005-12-05
Last Update Date:2010-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCNH0577314000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC7804169Medicaid
NC00879OtherBLUE CROSS BLUE SHIELD
NC3415481Medicaid
NC341611RMedicaid
NC345481Medicare Oscar/Certification