# SENORA H. WOODARD

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

## Provider details

- **NPI number:** 1083049217
- **Authorized official:** SENORA H WOODARD (OWNER)
- **Authorized official phone:** (919) 639-6893

## Contact information

- **Practice address:** 1709 ATKINS RD, FUQUAY VARINA, NC 27526-4162
- **Practice address phone:** (919) 639-6893
- **Mailing address:** 1709 ATKINS RD, FUQUAY VARINA, NC 27526-4162
- **Mailing address phone:** (919) 639-6893

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | MHL-092-231 | NC | Yes |

## Other

- **Enumeration date:** 09/06/2013
- **Last updated:** 05/13/2024