Provider Demographics
NPI:1619621372
Name:WOODS SERVICES OF NEW JERSEY INC.
Entity Type:Organization
Organization Name:WOODS SERVICES OF NEW JERSEY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO
Authorized Official - Prefix:MR
Authorized Official - First Name:THOMAS
Authorized Official - Middle Name:W
Authorized Official - Last Name:GRANT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:215-750-4210
Mailing Address - Street 1:40 MARTIN GROSS DR
Mailing Address - Street 2:
Mailing Address - City:LANGHORNE
Mailing Address - State:PA
Mailing Address - Zip Code:19047-1616
Mailing Address - Country:US
Mailing Address - Phone:215-750-4285
Mailing Address - Fax:
Practice Address - Street 1:1262 WHITEHORSE HAMILTON SQUARE ROAD
Practice Address - Street 2:
Practice Address - City:HAMILTON TOWNSHIP
Practice Address - State:NJ
Practice Address - Zip Code:08690
Practice Address - Country:US
Practice Address - Phone:215-750-4285
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-10
Last Update Date:2022-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0450559565OtherNEW JERSEY DEPT. OF THE TREASURY DIVISION OF REVENUE AND ENTERPRISE SERVICES