Woodlands Terrace Extended Care

LBN: Woodlands Extended Care Inc
Woodlands Terrace Extended Care is an health care organization with primary practice located at 120 W Chipola Ave , Deland FL 32720-7704. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Woodlands Extended Care Inc can be contacted via phone (386) 738-3433, or through Marsh, Donna J via phone (386) 255-1054.

Contact Information

Primary practice address
120 W Chipola Ave Deland FL 32720-7704
Phone: (386) 738-3433
Fax: (386) 740-8308
Website:
Map and Directions
Authorized official contact:
Name: Marsh, Donna J
Phone: (386) 255-1054

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 16490961 Florida

Profile Details

NPI number 1851360242
LBN Legal business name Woodlands Extended Care Inc
DBA Doing business as Woodlands Terrace Extended Care
Authorized official Marsh, Donna J
Entity Organization
Organization subpart 1 No
Enumeration date Mar 16th, 2006
Last updated Apr 25th, 2012 - about 12 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1851360242 NPPES
Florida MEDICAID 021263600

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