Organization
SENORA H. WOODARD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SENORA H WOODARD (OWNER)
(919) 639-6893
Entity
Organization
Contact information
Practice address
1709 ATKINS RD, FUQUAY VARINA, NC 27526-4162
(919) 639-6893
Mailing address
1709 ATKINS RD, FUQUAY VARINA, NC 27526-4162
(919) 639-6893
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
MHL-092-231
NC
Other
Enumeration date
09/06/2013
Last updated
05/13/2024
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