Woodard Afl Home

NPI 1083049217 - Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities - 320600000X

NPI Details
NPI 1083049217
Enumeration Date 09/06/2013
Last Updated 09/06/2013
Entity Type Healthcare Provider
Active Over 3 years ago
Authorized Information
Name SENORA SENORA
Position OWNER
Phone (919) 639-6893
Fax
Practice Location
2216 ANGIER RD
FUQUAY VARINA NC, 27526-8316, US
Phone (919) 639-6893
Fax
Business Location
2216 ANGIER RD
FUQUAY VARINA NC, 27526-8316, US
Phone (919) 639-6893
Fax
Toxanomy
Taxonomy Code 320600000X
License State North Carolina
License Number MHL-092-231
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According to our database, Woodard Afl Home NPI is 1083049217, taxonomy code is 320600000X and license number is MHL-092-231, license state is located at North Carolina. Woodard Afl Home physically located at 2216 Angier Rd, Fuquay Varina NC, 27526-8316. NPI Number 1033115704 has the healthcare provider type.

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1083049217 NPI number is provided on an as is basis without warranty of any kind. 1083049217 is maintained by the National Plan & Provider Enumeration System. The contents of Woodard Afl Home are for informational purposes only.