MEDICARE: WOOD OAKS INC.

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
1	310400000X	Assisted Living Facility	034360	MO

General Provider Information

NPI Number	:	1366633455
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WOOD OAKS INC.

Provider Business Mailing Address
First Line	:	PO BOX 520049
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64052-0049
Country	:	US
Telephone Number	:	816-254-5400
Fax Number	:	816-254-4426

Provider Business Practice Location Address
First Line	:	1804 S STERLING AVE
Second Line	:
City	:	INDEPENDENCE
State	:	MO
Zip	:	64052-3845
Country	:	US
Telephone Number	:	816-254-5400
Fax Number	:	816-254-4426

Authorized Official
Title or Position	:	MANAGER/ ADM.
Name	:	MS. VALERIE ANN SCHULTZ
Credential	:
Telephone Number	:	816-254-5400

Provider Enumeration Date	:	08/05/2007
Last Update Date	:	08/05/2007

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Directions to “WOOD OAKS INC. ” Practice Location

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