Organization
INDIVIDUALIZED TREATMENT SOLUTION
Active
Other names
Woodard's Adult Day Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHARON A. WOODARD CRAWFORD (OWNER)
(910) 393-9409
Entity
Organization
Contact information
Practice address
5051 MAIN ST STE 10, SHALLOTTE, NC 28470-4581
(910) 393-9409
(910) 842-9927
Mailing address
1747 GRISSETT RD SW, SUPPLY, NC 28462-3070
(910) 393-9409
(910) 842-9927
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
10/24/2014
Last updated
10/28/2014
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