Healthcare Provider Details

I. General information

NPI: 1922196179
Provider Name (Legal Business Name): WOODS POINT MANAGEMENT, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

E. 401 23RD ST.
BRODHEAD WI
53520
US

IV. Provider business mailing address

E. 401 23RD ST.
BRODHEAD WI
53520
US

V. Phone/Fax

Practice location:
  • Phone: 608-897-3031
  • Fax: 608-897-3179
Mailing address:
  • Phone: 608-897-3031
  • Fax: 608-897-3179

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: MR. LEE GUNDERSON
Title or Position: PRESIDENT
Credential:
Phone: 608-897-3031