Provider Demographics
NPI:1447885348
Name:WOFFORD AND WILLIAMS INC
Entity type:Organization
Organization Name:WOFFORD AND WILLIAMS INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
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 1:910 HOPE MILLS RD
Practice Address - Street 2:
Practice Address - City:FAYETTEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28304-4243
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:2020-03-11
Last Update Date:2020-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care
No385HR2065XRespite Care FacilityRespite CareRespite Care, Physical Disabilities, Child