Healthcare Provider Details

I. General information

NPI: 1033232988
Provider Name (Legal Business Name): WOODS ADULT DAY CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/07/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8227 CLOVERLEAF DR STE 300
MILLERSVILLE MD
21108-1536
US

IV. Provider business mailing address

8227 CLOVERLEAF DR STE 300
MILLERSVILLE MD
21108-1536
US

V. Phone/Fax

Practice location:
  • Phone: 410-987-0360
  • Fax: 410-987-1167
Mailing address:
  • Phone: 410-987-0360
  • Fax: 410-987-1167

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number13299
License Number StateMD

VIII. Authorized Official

Name: DR. BERNARD JOSEPH FEEHLEY JR.
Title or Position: ADMINISTRATOR
Credential: PHD
Phone: 410-987-0360