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Organization

WOODRUFF CORPORATION LLC.

Active
Parent organization
ADRIAN'S HAVEN
Organization subpart
Yes

Provider details

NPI number
Legal business name
ADRIAN'S HAVEN
Authorized official
MRS. NICOLE L WOODRUFF (OWNER/ADMINISTRATOR)
(937) 414-9516
Entity
Organization

Contact information

Practice address
1011 GREENOB DR, ENGLEWOOD, OH 45322-2208
(937) 414-9516
(937) 414-9516
Mailing address
1011 GREENOB DR, ENGLEWOOD, OH 45322-2208
(937) 414-9516
(937) 414-9516

Taxonomy

Speciality
Code
Description
License number
State
174200000X
Meals Provider
177F00000X
Lodging Provider
251B00000X
Case Management Agency
253Z00000X
In Home Supportive Care Agency
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
322D00000X
Emotionally Disturbed Childrens' Residential Treatment Facility

Other

Enumeration date
10/13/2025
Last updated
10/13/2025
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