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Organization
WOODS MANOR
Active
Organization
WOODS MANOR
Active
Parent organization
WOODS MANOR LLC
Organization subpart
Yes
Provider details
NPI number
Legal business name
WOODS MANOR LLC
Authorized official
MS. TAMMY WOODS (CEO)
(856) 203-4195
Entity
Organization
Contact information
Practice address
1505 S ACADEMY ST, GLASSBORO, NJ 08028-3368
(856) 244-8072
(856) 537-5769
Mailing address
409 STEEPLECHASE CT, DEPTFORD, NJ 08096-6810
(856) 244-8072
(856) 537-5769
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0568694
—
NJ
Enumeration date
12/22/2019
Last updated
07/31/2020
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