Wooded Acres #4

LBN: Wooded Acres #4
Wooded Acres #4 is an health care organization with primary practice located at 3650 Cherry Rd , Washington NC 27889-7267. The organization recently has only one registered license in Residential Treatment Facilities / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities, which is considered as the primary health care specialty. Wooded Acres #4 can be contacted via phone (252) 946-1838, or through Hardison, James E via phone (252) 946-6245.

Contact Information

Primary practice address
3650 Cherry Rd Washington NC 27889-7267
Phone: (252) 946-1838
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 / Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320900000X MHL007056 North Carolina

Profile Details

NPI number 1437350048
LBN Legal business name Wooded Acres #4
DBA Doing business as
Authorized official Hardison, James E
Entity Organization
Organization subpart 1 Yes
Enumeration date May 30th, 2007
Last updated Nov 15th, 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 1437350048 NPPES
North Carolina MEDICAID 7805671

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