Organization
HODGEWOOD HAVEN LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THELMA WOODY (REGISTERED AGENT/MEMBER)
(606) 312-3736
Entity
Organization
Contact information
Practice address
85 S LAUREL RD, LONDON, KY 40744-8550
(606) 312-3736
Mailing address
PO BOX 2421, LONDON, KY 40743-2421
(606) 312-3736
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
PENDING
KY
Other
Enumeration date
01/08/2011
Last updated
01/08/2011
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