Healthcare Provider Details

I. General information

NPI: 1518689900
Provider Name (Legal Business Name): WOODLAND SNF OPERATIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/13/2022
Last Update Date: 09/13/2022
Certification Date: 09/09/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 OLIVE ST SW
CULLMAN AL
35055-7202
US

IV. Provider business mailing address

1900 OLIVE ST SW
CULLMAN AL
35055-7202
US

V. Phone/Fax

Practice location:
  • Phone: 256-739-1430
  • Fax: 256-735-0708
Mailing address:
  • Phone: 256-739-1430
  • Fax: 256-735-0708

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: SUSAN STRAUSS
Title or Position: MANAGER
Credential:
Phone: 732-995-1700