Provider Demographics
NPI:1942977913
Name:LORI WOODY INC
Entity Type:Organization
Organization Name:LORI WOODY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:LOURDES
Authorized Official - Last Name:WOODY
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN, CCM, CDMS,
Authorized Official - Phone:305-826-5674
Mailing Address - Street 1:PO BOX 173085
Mailing Address - Street 2:
Mailing Address - City:MIAMI
Mailing Address - State:FL
Mailing Address - Zip Code:33017-3085
Mailing Address - Country:US
Mailing Address - Phone:305-826-5674
Mailing Address - Fax:305-826-1102
Practice Address - Street 1:5797-A NW 151 STREET
Practice Address - Street 2:
Practice Address - City:MIAMI LAKES
Practice Address - State:FL
Practice Address - Zip Code:33014
Practice Address - Country:US
Practice Address - Phone:305-826-5674
Practice Address - Fax:305-826-1102
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-08-26
Last Update Date:2021-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Single Specialty