- Enrollment id
- O20180301000030
- Enrollment state
- OH
- Provider type code
- 00-18
- Provider type text
- PART A PROVIDER - SKILLED NURSING FACILITY
- Npi
- 1780191544
- Multiple npi flag
- N
- Ccn
- 366209
- Associate id
- 1850652116
- Organization name
- WOODS EDGE REHAB AND NURSING LLC
- Doing business as name
- WOODS EDGE REHAB AND NURSING
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Nursing home provider name
- WOODS EDGE REHAB AND NURSING
- Address line 1
- 1171 TOWNE ST
- City
- CINCINNATI
- State
- OH
- Zip code
- 452162227