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NPI Code Detail

MEDICARE: THE WOODLANDS HEALTHCARE CENTER, LP

MEDICARE: THE WOODLANDS HEALTHCARE CENTER, LP
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1313M00000XNursing Facility/Intermediate Care Facility111990TX

General Provider Information

NPI Number : 1023091097
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE WOODLANDS HEALTHCARE CENTER, LP
Provider Business Mailing Address
First Line : 4650 S PANTHER CREEK DR
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77381-2764
Country : US
Telephone Number : 281-363-3535
Fax Number : 281-363-3576
Provider Business Practice Location Address
First Line : 4650 S PANTHER CREEK DR
Second Line :
City : THE WOODLANDS
State : TX
Zip : 77381-2764
Country : US
Telephone Number : 281-363-3535
Fax Number : 281-363-3576
Authorized Official
Title or Position : PPS COORDINATOR
Name : MS. WENDY JEANS
Credential : LVN
Telephone Number : 281-363-3535
Provider Enumeration Date : 11/23/2005
Last Update Date : 08/22/2020

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