Organization
WOODY'S MOM, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIA HASKETT SIMMONS (CEO)
(919) 757-6844
Entity
Organization
Contact information
Practice address
1135 KILDAIRE FARM RD, SUITE 200, CARY, NC 27511-7608
(919) 757-6844
(919) 651-1372
Mailing address
PO BOX 1631, CARY, NC 27512-1631
(919) 757-6844
(919) 651-1372
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
07/21/2009
Last updated
12/14/2009
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