# WOODED ACRES GUEST HOME INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053457523
- **Authorized official:** MR. JAMES E HARDISON (OWNER)
- **Authorized official phone:** (252) 946-6245

## Contact information

- **Practice address:** 3650 CHERRY ROAD, WASHINGTON, NC 27889-7268
- **Practice address phone:** (252) 946-1838
- **Mailing address:** 3650 CHERRY ROAD, WASHINGTON, NC 27889-7268
- **Mailing address phone:** (252) 946-1838

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | MHL-007-056 | NC | Yes |
| 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