Wooded Acres #3 in Washington - Community Based Residential Treatment Facility, Mental Illness
Wooded Acres #3 - NPI 1609087303
Wooded Acres #3 is a Community Based Residential Treatment Facility, Mental Illness in Washington, North Carolina. Wooded Acres #3 practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Mental Illness. The NPI Number for Wooded Acres #3 is 1609087303. The last update date is 2007-11-15.
Wooded Acres #3's current location address is 3680 Cherry Rd, Washington, North Carolina. You can contact this provider via phone number 2529465997 and fax number 2529466245. The mailing address for Wooded Acres #3 is 3680 Cherry Rd, Washington, North Carolina. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Wooded Acres #3 |
|---|---|
| Address | 3680 Cherry Rd, Washington, North Carolina |
| Phone Number | 2529465997 |
| Fax Number | 2529466245 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Hardison E James |
| Telephone Number | 2529466245 |
NPI Number Detail
| NPI Number | 1609087303 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2007-11-15 |
Provider Mailing Address Detail
| Address | 3680 Cherry Rd |
|---|---|
| City | Washington |
| State | North Carolina (NC) |
| Post Code | 278897267 |
| Phone Number | 2529465997 |
| Fax Number | 2529466245 |
Provider's Primary Taxonomy Detail
| Speciality | Community Based Residential Treatment Facility, Mental Illness |
|---|---|
| Taxonomy | 320800000X |
| Licence No | MHL007055 |
|
Definition: A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 7805860 | NC | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Wooded Acres #3 by the Centers for Medicare & Medicaid Services?
The Wooded Acres #3 has been assigned the NPI (National Provider Identifier) 1609087303. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Wooded Acres #3's physical address?
The Wooded Acres #3 is physically located at 3680 Cherry Rd, in the city of Washington, NC, with the postal code 278897267.
What is the Wooded Acres #3's specialty and taxonomy code?
The Wooded Acres #3's specialty is Community Based Residential Treatment Facility, Mental Illness, and the corresponding taxonomy code is 320800000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1609087303 to Wooded Acres #3?
The Wooded Acres #3 received its 1609087303 assignment from the Centers for Medicare & Medicaid Services on 2007-05-24.
When was the Wooded Acres #3's information last updated?
The Wooded Acres #3's information was last updated on 2007-11-15.
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