Healthcare Provider Details

I. General information

NPI: 1730386665
Provider Name (Legal Business Name): WOOD CARE X, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/03/2007
Last Update Date: 03/20/2025
Certification Date: 03/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

202 S BRIDGE ST
LINDEN MI
48451-8805
US

IV. Provider business mailing address

910 S WASHINGTON AVE
ROYAL OAK MI
48067-3216
US

V. Phone/Fax

Practice location:
  • Phone: 810-735-9400
  • Fax:
Mailing address:
  • Phone: 248-543-7300
  • Fax: 248-399-5300

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KIMBERLY M. TACKETT
Title or Position: PRESIDENT
Credential:
Phone: 248-543-7300