Organization
WOODBURY WELLNESS CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE PRIDGEN (BUSINESS OFFICE MGR)
(910) 270-1443
Entity
Organization
Contact information
Practice address
2778 COUNTRY CLUB DR, HAMPSTEAD, NC 28443-8028
(910) 270-1443
(910) 270-1826
Mailing address
2778 COUNTRY CLUB DR, HAMPSTEAD, NC 28443-8028
(910) 270-1443
(910) 270-1826
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
NH0300
NC
311500000X
Alzheimer Center (Dementia Center)
NH0300
NC
314000000X
Skilled Nursing Facility
Primary
NH0300
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3415349
—
NC
05
—
3426235
—
NC
05
—
7806631
—
NC
Enumeration date
10/12/2005
Last updated
12/05/2012
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