- Enrollment id
- O20231002000127
- Enrollment state
- LA
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1235845819
- Multiple npi flag
- N
- Ccn
- 195482
- Associate id
- 9133573728
- Organization name
- WOODLANDS OPCO LLC
- Doing business as name
- THE WOODLANDS HEALTHCARE CENTER
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- THE WOODLANDS HEALTHCARE CENTER
- Affiliation entity name
- PRIORITY MANAGEMENT
- Affiliation entity id
- 425
- Address line 1
- 144 THAD BAILES RD
- City
- LEESVILLE
- State
- LA
- Zip code
- 714462832