Wooded Acres #4 in Washington - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities

Wooded Acres #4 - NPI 1437350048

Wooded Acres #4 is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Washington, North Carolina. Wooded Acres #4 practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Wooded Acres #4 is 1437350048. The last update date is 2007-11-15.

Wooded Acres #4's current location address is 3650 Cherry Rd, Washington, North Carolina. You can contact this provider via phone number 2529461838 and fax number 2529466245. The mailing address for Wooded Acres #4 is 3650 Cherry Rd, Washington, North Carolina. To know further, please read the information below!

Provider Profile Detail

Provider Organization Wooded Acres #4
Address 3650 Cherry Rd, Washington, North Carolina
Phone Number 2529461838
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 1437350048
Provider Enumeration Date 2007-05-30
Last Updated Date 2007-11-15

Provider Mailing Address Detail

Address 3650 Cherry Rd
City Washington
State North Carolina (NC)
Post Code 278897267
Phone Number 2529461838
Fax Number 2529466245

Provider's Primary Taxonomy Detail

Speciality Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Taxonomy 320900000X
Licence No MHL007056
Definition:
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
7805671 NC --

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FAQs about Wooded Acres #4

What is the Wooded Acres #4's 1437350048?

The Wooded Acres #4's NPI (National Provider Identifier) Number is 1437350048. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please provide the complete physical location address of Wooded Acres #4?

The Wooded Acres #4 is physically situated at 3650 Cherry Rd, in the city of Washington, state of NC, with the postal code 278897267.

What is Wooded Acres #4's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Wooded Acres #4 is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the taxonomy code that classifies this field of practice is 320900000X.

On what date was the 1437350048 assigned to Wooded Acres #4?

The Wooded Acres #4 was issued its 1437350048 on 2007-05-30, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Wooded Acres #4 most recently updated or revised?

The details related to Wooded Acres #4, including its address, specialty, and other relevant information, were last updated or revised on 2007-11-15.

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