Organization
LINDA WOODSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA A WOODSON (ADMINISTRATOR)
(336) 349-2585
Entity
Organization
Contact information
Practice address
121 SQUIRREL TRAIL, REIDSVILLE, NC 27320-9724
(336) 349-2585
Mailing address
476 NC HIGHWAY 87, REIDSVILLE, NC 27320-9724
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
FCL-079-016
NC
311ZA0620X
Adult Care Home Facility
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Other
Enumeration date
08/18/2008
Last updated
03/15/2024
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