Healthcare Provider Details

I. General information

NPI: 1497222459
Provider Name (Legal Business Name): WOODSTOCK HEALTH SERVICES. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/29/2018
Last Update Date: 10/29/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 E 10TH ST STE 200
ANNISTON AL
36207-4781
US

IV. Provider business mailing address

PO BOX 2333
ANNISTON AL
36202-2333
US

V. Phone/Fax

Practice location:
  • Phone: 256-541-5696
  • Fax:
Mailing address:
  • Phone: 256-541-5696
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code315D00000X
TaxonomyInpatient Hospice
License Number
License Number State

VIII. Authorized Official

Name: MS. NEELY NICOLE MURATET
Title or Position: ADMINISTRATOR
Credential: RN
Phone: 256-541-5696