Organization
WOODED ACRES GUEST HOME #2
Active
Organization
WOODED ACRES GUEST HOME #2
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
3644 CHERRY RD, WASHINGTON, NC 27889-7267
(252) 940-1836
(252) 946-6245
Mailing address
3644 CHERRY RD, WASHINGTON, NC 27889-7267
(252) 940-1836
(252) 946-6245
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
MHL007053
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7804980
—
NC
Enumeration date
05/30/2007
Last updated
11/15/2007
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