Organization
WOODED ACRES #3
Active
Parent organization
WOODED ACRES GUEST HOME, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
WOODED ACRES GUEST HOME, INC.
Authorized official
MR. JAMES E HARDISON JR. (OWNER)
(252) 946-6245
Entity
Organization
Contact information
Practice address
3680 CHERRY RD, WASHINGTON, NC 27889-7267
(252) 946-5997
(252) 946-6245
Mailing address
3680 CHERRY RD, WASHINGTON, NC 27889-7267
(252) 946-5997
(252) 946-6245
Taxonomy
Speciality
Code
Description
License number
State
320800000X
Mental Illness Community Based Residential Treatment Facility
Primary
MHL007055
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7805860
—
NC
Enumeration date
05/24/2007
Last updated
11/15/2007
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