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WOODSTOCK ESTATES NPI 1982822797


NPI Information

NPI: 1982822797
Provider Name: WOODSTOCK ESTATES
Classification: Assisted Living Facility - 310400000X
Entity Type: Organization
Address:
100 PROFESSIONAL WAY
WOODSTOCK, GA
ZIP 30188
Phone: (770) 926-0119
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WOODSTOCK ESTATES is an assisted living facility in Woodstock, GA. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. WOODSTOCK ESTATES NPI is 1982822797. The provider is registered as an organization entity type.

The provider's business location address is:

100 PROFESSIONAL WAY
WOODSTOCK, GA
ZIP 30188
Phone: (770) 926-0119
Fax: (503) 485-1279

The provider's authorized official is Jon Harder .
The authorized official title is Ceo President and has the following contact phone number (503) 485-8697.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityGEORGIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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