Provider Demographics
NPI:1427559608
Name:WOODS SERVICES INC
Entity Type:Organization
Organization Name:WOODS SERVICES INC
Other - Org Name:MOLLIE WOODS INTENSIVE
Other - Org Type:Other Name
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:TINE
Authorized Official - Middle Name:
Authorized Official - Last Name:HANSEN-TURTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-750-4242
Mailing Address - Street 1:40 MARTIN GROSS DRIVE
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-0036
Mailing Address - Country:US
Mailing Address - Phone:215-750-4000
Mailing Address - Fax:
Practice Address - Street 1:WILDWOOD
Practice Address - Street 2:17 WILDWOOD CIRCLE
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047
Practice Address - Country:US
Practice Address - Phone:215-750-4000
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-02-23
Last Update Date:2019-03-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320900000XResidential Treatment FacilitiesCommunity Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Provider Identifiers
StateIdentifier IDID TypeIssuer
PACER-00405223OtherPA DEPT. OF HUMAN SERVICES