Provider Demographics
NPI:1033232988
Name:WOODS ADULT DAY CARE CENTER, INC.
Entity Type:Organization
Organization Name:WOODS ADULT DAY CARE CENTER, INC.
Other - Org Name:WOODS ADULT DAY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:DR
Authorized Official - First Name:BERNARD
Authorized Official - Middle Name:JOSEPH
Authorized Official - Last Name:FEEHLEY
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:410-987-0360
Mailing Address - Street 1:8227 CLOVERLEAF DR STE 300
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-1536
Mailing Address - Country:US
Mailing Address - Phone:410-987-0360
Mailing Address - Fax:410-987-1167
Practice Address - Street 1:8227 CLOVERLEAF DR STE 300
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-1536
Practice Address - Country:US
Practice Address - Phone:410-987-0360
Practice Address - Fax:410-987-1167
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13299261QA0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care