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NPI Code Detail

MEDICARE: WOODSTOCK CENTER FOR NURSING AND HEALING LLC

MEDICARE: WOODSTOCK CENTER FOR NURSING AND HEALING LLC
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
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1295574473
Entity Type Code : Organization
Provider Name (Legal Business Name) : WOODSTOCK CENTER FOR NURSING AND HEALING LLC
Provider Business Mailing Address
First Line : 105 ARNOLD MILL RD
Second Line :
City : WOODSTOCK
State : GA
Zip : 30188-5027
Country : US
Telephone Number : 770-926-0016
Fax Number :
Provider Business Practice Location Address
First Line : 105 ARNOLD MILL RD
Second Line :
City : WOODSTOCK
State : GA
Zip : 30188-5027
Country : US
Telephone Number : 770-926-0016
Fax Number :
Authorized Official
Title or Position : MEMBER OF LLC
Name : SHLOMO E HELLER
Credential :
Telephone Number : 470-737-0111
Provider Enumeration Date : 05/20/2024
Last Update Date : 12/11/2025

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Directions to “WOODSTOCK CENTER FOR NURSING AND HEALING LLC ” Practice Location

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