| Doctor Name: | CHARLEEN WOOTEN |
| NPI Number: | 1427329796 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 565 10th St Plainwell, MI - 49080 |
| Business Phone Number: | 2696859246 |
| Business Fax Number: | |
| Mailing Address: | 565 10th St., PLAINWELL |
| State: | MI |
| Postal Code: | 49080 |
| Phone Number: | 2696859246 |
| Fax Number: | |
| NPI Enumeration Date: | 01/19/2012 |
| NPI Last Update Date: | 01/19/2012 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 376G00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Nursing Service Related Providers |
| Taxonomy Classification: | Nursing Home Administrator |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual, often licensed by the state, who is responsible for the management of a nursing home. |