NPI 1760659338

Woodard Retirement Village

Organisation Exclusive Provider Organization Goldsboro, NC

Practice location

Address: 1019 Royall Ave, Goldsboro, NC 27534-2500
Phone: (919) 734-2889
Fax: (919) 734-7995

Authorised official

Name: Jean Woodard Jones
Title: Administrator
Phone: (919) 734-2889

Registered specialties

Exclusive Provider Organization Primary

Managed Care Organizations Taxonomy 302F00000X Licence HAL0096009 (NC)

Other Exclusive Provider Organization providers in North Carolina →

Registry record

NPI: 1760659338
Entity type: Organization
NPI issued: 13 May 2008
Record last updated: 13 May 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.