Woodlake Nursing Home LLC

NPI #1144394719 in Clute, Texas

Provider Information

NPI Number
1144394719
Entity Type
Organization
Organization Name
Woodlake Nursing Home LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Nov 17, 2006
Last Updated
Mar 16, 2016

Practice Location

Address
603 E PLANTATION DR
City
Clute
State
Texas
ZIP Code
77531-5719
Phone
(979) 265-4221

Authorized Official

Name
VEDALIA S FOX
Title
PRESIDENT
Phone
(979) 265-4221

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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