Basic Information
| Provider Information | |||||||||
| NPI: | 1104348390 | ||||||||
| EntityType: | 2 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | WOODLANDS NURSING OPERATIONS, LLC | ||||||||
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| OtherOrganizationName: | THE WOODLANDS | ||||||||
| OtherOrganizationType: | 3 | ||||||||
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| Mailing Information | |||||||||
| Address1: | 306 W 7TH ST STE 430 | ||||||||
| Address2: | |||||||||
| City: | FT WORTH | ||||||||
| State: | TX | ||||||||
| PostalCode: | 761024902 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 8173396177 | ||||||||
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| Practice Location | |||||||||
| Address1: | 125 INSPIRATION BLVD | ||||||||
| Address2: | |||||||||
| City: | EASTLAND | ||||||||
| State: | TX | ||||||||
| PostalCode: | 764485512 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 2546291001 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 07/10/2017 | ||||||||
| LastUpdateDate: | 07/10/2017 | ||||||||
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| AuthorizedOfficialLastName: | HARRINGTON | ||||||||
| AuthorizedOfficialFirstName: | RYAN | ||||||||
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| AuthorizedOfficialTitleorPosition: | PRESIDENT | ||||||||
| AuthorizedOfficialTelephone: | 8173396177 | ||||||||
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| IsOrganizationSubpart: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 310400000X | Y | Nursing & Custodial Care Facilities | Assisted Living Facility |
No ID Information.