| NPI | 1851360242 |
|---|---|
| Doing Business As | WOODLANDS TERRACE EXTENDED CARE |
| Entity Type | Organization |
| Authorized Contact | DONNA J MARSH Bookkeeper 386-255-1054 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: FL 16490961) |
| Enumeration Date | 2006-03-16 |
| Last Update Date | 2012-04-25 |