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Organization
WOODED ACRES GUEST HOME INC
Active
Organization
WOODED ACRES GUEST HOME INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES E HARDISON (OWNER)
(252) 946-6245
Entity
Organization
Contact information
Practice address
3650 CHERRY ROAD, WASHINGTON, NC 27889-7268
(252) 946-1838
Mailing address
3650 CHERRY ROAD, WASHINGTON, NC 27889-7268
(252) 946-1838
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
MHL-007-056
NC
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
MHL-007-056
NC
Other
Enumeration date
01/30/2007
Last updated
07/15/2008
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