Organization Name: | WOODVILLE HEALTH CARE CENTER LTD. CO |
NPI Number: | 1043206345 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROBIN UNDERHILL (CHIEF EXECUTIVE) |
Mailing Address: | 102 N Beech St Woodville |
State: | TX US |
Postal Code: | 759794718 |
Phone Number: | 2149544114 |
Fax Number: | 2148713057 |
NPI Enumeration Date: | 09/22/2005 |
NPI Last Update Date: | 08/29/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 332BP3500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Suppliers |
Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
Taxonomy Specialization: | Parenteral & Enteral Nutrition |
Taxonomy Definition: |