Healthcare Provider Details

I. General information

NPI: 1255879490
Provider Name (Legal Business Name): WOODS SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/08/2017
Last Update Date: 02/10/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

40 MARTIN GROSS DR
LANGHORNE PA
19047-1616
US

IV. Provider business mailing address

40 MARTIN GROSS DR
LANGHORNE PA
19047-1616
US

V. Phone/Fax

Practice location:
  • Phone: 215-750-4000
  • Fax:
Mailing address:
  • Phone: 215-750-4000
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License NumberCER-00104664
License Number StatePA
# 2
Primary TaxonomyN
Taxonomy Code322D00000X
TaxonomyEmotionally Disturbed Childrens' Residential Treatment Facility
License NumberCER-00104664
License Number StatePA

VIII. Authorized Official

Name: DR. SCOTT SPREAT
Title or Position: PRESIDENT/CEO
Credential: ED.D
Phone: 215-750-4000