01D0678877 CLIA NUMBER - WOODHAVEN MANOR

Laboratory Demographics

CLIA Number: 01D0678877

Facility Name: WOODHAVEN MANOR

Facility Address:
105 W WINDSOR
DEMOPOLIS, AL
ZIP 36732
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Facility Phone Number: (334) 289-2741

Facility Type: SKILLED NURSING/NURSING FACILITY

Certificate Type: Waiver

NPI Number: 1477512952

Taxonomy: 313M00000X - Nursing Facility/Intermediate Care Facility
An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals.

CLIA Record

Field Name	Field Value
CLIA Number	01D0678877
LAB Type	SKILLED NURSING/NURSING FACILITY
Facility Name	WOODHAVEN MANOR
Street	105 W WINDSOR
City	DEMOPOLIS
State	AL
ZIP	36732
Phone	(334) 289-2741

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This page was last updated on: 5/11/2023