# WOODRUFF CORPORATION LLC.

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** ADRIAN'S HAVEN
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1528934163
- **Legal business name:** ADRIAN'S HAVEN
- **Authorized official:** MRS. NICOLE L WOODRUFF (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (937) 414-9516

## Contact information

- **Practice address:** 1011 GREENOB DR, ENGLEWOOD, OH 45322-2208
- **Practice address phone:** (937) 414-9516
- **Practice address fax:** (937) 414-9516
- **Mailing address:** 1011 GREENOB DR, ENGLEWOOD, OH 45322-2208
- **Mailing address phone:** (937) 414-9516
- **Mailing address fax:** (937) 414-9516

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 177F00000X | Lodging Provider | — | NULL | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |
| 322D00000X | Emotionally Disturbed Childrens' Residential Treatment Facility | — | NULL | — |

## Other

- **Enumeration date:** 10/13/2025
- **Last updated:** 10/13/2025
