Organization
INDIVIDUALIZED TREATMENT SOLUTION
Active
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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