Provider Demographics
NPI:1568236479
Name:BARNETT WOODLAND ALF INC
Entity Type:Organization
Organization Name:BARNETT WOODLAND ALF INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER /ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:SCOTT
Authorized Official - Middle Name:ROBERT
Authorized Official - Last Name:BARNETT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:954-967-0690
Mailing Address - Street 1:4561 SW 36TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33023-5511
Mailing Address - Country:US
Mailing Address - Phone:954-967-0690
Mailing Address - Fax:954-967-0690
Practice Address - Street 1:4561 SW 36TH ST
Practice Address - Street 2:
Practice Address - City:WEST PARK
Practice Address - State:FL
Practice Address - Zip Code:33023-5511
Practice Address - Country:US
Practice Address - Phone:954-589-5061
Practice Address - Fax:954-967-0690
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-10
Last Update Date:2024-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility