| Organization Name: | WOODLAWN, LLC |
| NPI Number: | 1205907631 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | GERALD DUEHNING (ADMINISTRATOR) |
| Mailing Address: | 2219 Woodlawn Ave Guthrie |
| State: | OK US |
| Postal Code: | 730445759 |
| Phone Number: | 4052823630 |
| Fax Number: | 4052827847 |
| NPI Enumeration Date: | 11/09/2006 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 385H00000X |
| License Number: | DC4201 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | OK |
| Taxonomy Type: | Respite Care Facility |
| Taxonomy Classification: | Respite Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | |