| NPI | 1164995965 |
|---|---|
| Other Name | WOODS HOST HOME |
| Entity Type | Organization |
| Authorized Contact | MICHELE PRIOR Billing Manager 706-432-4837 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
| Enumeration Date | 2019-01-04 |
| Last Update Date | 2019-01-04 |