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Wooded Acres Guest Home #1
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Washington, North Carolina
NPI 1275744963

Wooded Acres Guest Home #1 is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Washington, NC. Wooded Acres Guest Home #1 practices in Washington, NC. The NPI Number for Wooded Acres Guest Home #1 is 1275744963 and holds a License No. MHL007053 (North Carolina).

The current practice location address for Wooded Acres Guest Home #1 is 3706 Cherry Rd, Washington, NC and can be reached out via phone at 252-946-6245 and via fax at 252-946-6245.

Location: 3706 Cherry Rd, Washington, NC, 27889-7268
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1275744963
Provider Name
Wooded Acres Guest Home #1
Credential
Provider Entity Type
Organization
Address
3706 Cherry Rd, Washington, NC, 27889-7268
Phone Number
252-946-6245
Fax Number
252-946-6245
Provider Enumeration Date
05/24/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
7801354 05 NC
institution
Provider Business Practice Location Address Details
Address
3706 Cherry Rd
City
Washington
State
North Carolina
Zip
27889-7268
Phone Number
252-946-6245
Fax Number
252-946-6245
person
Provider Business Mailing Address Details
Address
3706 Cherry Rd
City
Washington
State
North Carolina
Zip
27889-7268
Phone Number
252-946-6245
Fax Number
252-946-6245
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
MHL007053 (North Carolina)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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