Provider Demographics
NPI:1518689900
Name:WOODLAND SNF OPERATIONS LLC
Entity Type:Organization
Organization Name:WOODLAND SNF OPERATIONS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:SUSAN
Authorized Official - Middle Name:
Authorized Official - Last Name:STRAUSS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-995-1700
Mailing Address - Street 1:1900 OLIVE ST SW
Mailing Address - Street 2:
Mailing Address - City:CULLMAN
Mailing Address - State:AL
Mailing Address - Zip Code:35055-7202
Mailing Address - Country:US
Mailing Address - Phone:256-739-1430
Mailing Address - Fax:256-735-0708
Practice Address - Street 1:1900 OLIVE ST SW
Practice Address - Street 2:
Practice Address - City:CULLMAN
Practice Address - State:AL
Practice Address - Zip Code:35055-7202
Practice Address - Country:US
Practice Address - Phone:256-739-1430
Practice Address - Fax:256-735-0708
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-09-13
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility