# WOODEN GROUP HOME HELP

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

## Provider details

- **NPI number:** 1871224246
- **Authorized official:** DAWON WOODEN (CEO)
- **Authorized official phone:** (248) 763-7101

## Contact information

- **Practice address:** 22800 CIVIC CENTER DR APT 103-A, SOUTHFIELD, MI 48033-7140
- **Practice address phone:** (248) 763-7101
- **Mailing address:** 22800 CIVIC CENTER DR APT 103-A, SOUTHFIELD, MI 48033-7140
- **Mailing address phone:** (248) 763-7101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 174200000X | Meals Provider | — | NULL | — |
| 177F00000X | Lodging Provider | — | NULL | — |
| 251B00000X | Case Management Agency | — | NULL | — |
| 251E00000X | Home Health Agency | — | NULL | — |
| 251J00000X | Nursing Care Agency | — | NULL | — |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |
| 261QP2000X | Physical Therapy Clinic/Center | — | NULL | — |
| 261QV0200X | VA Clinic/Center | — | NULL | — |

## Other

- **Enumeration date:** 06/17/2022
- **Last updated:** 10/03/2022