Provider Demographics
NPI:1871689778
Name:THE WOODLANDS LLC
Entity Type:Organization
Organization Name:THE WOODLANDS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:GEORGANNE
Authorized Official - Middle Name:
Authorized Official - Last Name:QUAILS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:205-776-4663
Mailing Address - Street 1:8071 KIMBRELL CUTOFF RD
Mailing Address - Street 2:
Mailing Address - City:MC CALLA
Mailing Address - State:AL
Mailing Address - Zip Code:35111-3019
Mailing Address - Country:US
Mailing Address - Phone:205-776-4663
Mailing Address - Fax:205-776-4668
Practice Address - Street 1:8071 KIMBRELL CUTOFF RD
Practice Address - Street 2:
Practice Address - City:MC CALLA
Practice Address - State:AL
Practice Address - Zip Code:35111-3019
Practice Address - Country:US
Practice Address - Phone:205-776-4663
Practice Address - Fax:205-776-4668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-10-05
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL11598310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility