Provider Demographics
NPI:1497222459
Name:WOODSTOCK HEALTH SERVICES. LLC
Entity Type:Organization
Organization Name:WOODSTOCK HEALTH SERVICES. LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NEELY
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:MURATET
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:256-541-5696
Mailing Address - Street 1:PO BOX 2333
Mailing Address - Street 2:
Mailing Address - City:ANNISTON
Mailing Address - State:AL
Mailing Address - Zip Code:36202-2333
Mailing Address - Country:US
Mailing Address - Phone:256-541-5696
Mailing Address - Fax:
Practice Address - Street 1:409 E 10TH ST STE 200
Practice Address - Street 2:
Practice Address - City:ANNISTON
Practice Address - State:AL
Practice Address - Zip Code:36207-4781
Practice Address - Country:US
Practice Address - Phone:256-541-5696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-29
Last Update Date:2018-10-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient