Provider Demographics
NPI:1801555768
Name:WOODS SERVICES INC
Entity type:Organization
Organization Name:WOODS SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AVP SPECIAL PROJECTS
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:E
Authorized Official - Last Name:ANGELINI
Authorized Official - Suffix:
Authorized Official - Credentials:MSED
Authorized Official - Phone:215-750-2485
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 1:9 WOODLANDS DRIVE
Practice Address - Street 2:
Practice Address - City:LANGHORNE
Practice Address - State:PA
Practice Address - Zip Code:19047-1616
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:2021-12-08
Last Update Date:2024-10-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities
No322D00000XResidential Treatment FacilitiesResidential Treatment Facility, Emotionally Disturbed Children
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA113450OtherDEPARTMENT OF HUMAN SERVICES
PA113450Medicaid