# WOODS MANOR

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WOODS MANOR LLC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1568001527
- **Legal business name:** WOODS MANOR LLC
- **Authorized official:** MS. TAMMY WOODS (CEO)
- **Authorized official phone:** (856) 203-4195

## Contact information

- **Practice address:** 1505 S ACADEMY ST, GLASSBORO, NJ 08028-3368
- **Practice address phone:** (856) 244-8072
- **Practice address fax:** (856) 537-5769
- **Mailing address:** 409 STEEPLECHASE CT, DEPTFORD, NJ 08096-6810
- **Mailing address phone:** (856) 244-8072
- **Mailing address fax:** (856) 537-5769

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/22/2019
- **Last updated:** 07/31/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0568694 | — | NJ |