Woodruff Manor, LLC
NPI #1134146210 in Woodruff, South Carolina
Provider Information
- NPI Number
- 1134146210
- Entity Type
- Organization
- Organization Name
- Woodruff Manor, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 16, 2006
- Last Updated
- Apr 9, 2008
Practice Location
- Address
- 1114 E GEORGIA RD
- City
- Woodruff
- State
- South Carolina
- ZIP Code
- 29388-9350
- Phone
- (864) 476-7092
Authorized Official
- Name
- MRS. LISA KAY TATUM, LNHA
- Title
- ADMINISTRATOR
- Phone
- (864) 476-7092
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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