Provider Demographics
NPI:1982225546
Name:WOFFORD AND WILLIAMS INC
Entity Type:Organization
Organization Name:WOFFORD AND WILLIAMS INC
Other - Org Name:AKINS HELPING HANDS
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:LASHONDA
Authorized Official - Middle Name:RENEE
Authorized Official - Last Name:WOFFORD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-568-5319
Mailing Address - Street 1:5405 QUARTER POLE LN
Mailing Address - Street 2:
Mailing Address - City:HOPE MILLS
Mailing Address - State:NC
Mailing Address - Zip Code:28348-8355
Mailing Address - Country:US
Mailing Address - Phone:910-568-5319
Mailing Address - Fax:910-491-9719
Practice Address - Street 1:5405 QUARTER POLE LN
Practice Address - Street 2:
Practice Address - City:HOPE MILLS
Practice Address - State:NC
Practice Address - Zip Code:28348-8355
Practice Address - Country:US
Practice Address - Phone:910-568-5319
Practice Address - Fax:910-491-9719
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WOFFORD AND WILLIAMS INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-05-05
Last Update Date:2020-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No251J00000XAgenciesNursing Care
No251S00000XAgenciesCommunity/Behavioral HealthGroup - Single Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care
No385HR2060XRespite Care FacilityRespite CareRespite Care, Intellectual and/or Developmental Disabilities, Child
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCHC5389Medicaid