| NPI | 1376054197 |
|---|---|
| Doing Business As | WOODED GLEN |
| Entity Type | Organization |
| Authorized Contact | BRAD WILLIAMSON Sr. Vice President And Treasurer 502-412-5847 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2017-10-19 |
| Last Update Date | 2017-10-19 |