# LINDA WOODSON

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

## Provider details

- **NPI number:** 1710133137
- **Authorized official:** LINDA A WOODSON (ADMINISTRATOR)
- **Authorized official phone:** (336) 349-2585

## Contact information

- **Practice address:** 121 SQUIRREL TRAIL, REIDSVILLE, NC 27320-9724
- **Practice address phone:** (336) 349-2585
- **Mailing address:** 476 NC HIGHWAY 87, REIDSVILLE, NC 27320-9724

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | FCL-079-016 | NC | Yes |
| 311ZA0620X | Adult Care Home Facility | — | NULL | — |

## Other

- **Enumeration date:** 08/18/2008
- **Last updated:** 03/15/2024