NPI | 1023096138 |
---|---|
Doing Business As | WOODLAND MANOR |
Entity Type | Organization |
Authorized Contact | DANE WHEELER CFO/Treasurer 260-724-2145 |
Organization Subpart ? | Yes |
Primary Taxonomy | 314000000X Skilled Nursing Facility |
Additional Taxonomies | 313M00000X Nursing Facility/Intermediate Care Facility |
Enumeration Date | 2006-01-09 |
Last Update Date | 2013-03-04 |