# WOODBURY WELLNESS CENTER INC

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

## Provider details

- **NPI number:** 1992793962
- **Authorized official:** MRS. RENEE PRIDGEN (BUSINESS OFFICE MGR)
- **Authorized official phone:** (910) 270-1443

## Contact information

- **Practice address:** 2778 COUNTRY CLUB DR, HAMPSTEAD, NC 28443-8028
- **Practice address phone:** (910) 270-1443
- **Practice address fax:** (910) 270-1826
- **Mailing address:** 2778 COUNTRY CLUB DR, HAMPSTEAD, NC 28443-8028
- **Mailing address phone:** (910) 270-1443
- **Mailing address fax:** (910) 270-1826

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | NH0300 | NC | — |
| 311500000X | Alzheimer Center (Dementia Center) | NH0300 | NC | — |
| 314000000X | Skilled Nursing Facility | NH0300 | NC | Yes |

## Other

- **Enumeration date:** 10/12/2005
- **Last updated:** 12/05/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 3415349 | — | NC |
| 05 | — | 3426235 | — | NC |
| 05 | — | 7806631 | — | NC |