Wooded Acres #1

LBN: Wooded Acres #1
Wooded Acres #1 is an health care organization with primary practice located at 3706 Cherry Rd , Washington NC 27889-7268. The organization recently has only one registered license in Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Wooded Acres #1 can be contacted via phone (252) 946-6245, or through Hardison, James E via phone (252) 946-6245.

Contact Information

Primary practice address
3706 Cherry Rd Washington NC 27889-7268
Phone: (252) 946-6245
Fax: (252) 946-6245
Website:
Map and Directions
Authorized official contact:
Name: Hardison, James E
Phone: (252) 946-6245

Health care specialties

SpecialtyCodeLicense #State
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MHL-007-053 North Carolina

Profile Details

NPI number 1447433479
LBN Legal business name Wooded Acres #1
DBA Doing business as
Authorized official Hardison, James E
Entity Organization
Organization subpart 1 Yes
Enumeration date Dec 13th, 2007
Last updated Dec 13th, 2007 - about 18 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1447433479 NPPES
North Carolina MEDICAID 7805958

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