Provider Demographics
NPI:1366977506
Name:WOODWARD FOUNDATION FOR THE DISABLED
Entity type:Organization
Organization Name:WOODWARD FOUNDATION FOR THE DISABLED
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:WOODWARD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:602-429-0346
Mailing Address - Street 1:33 S SYCAMORE
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MESA
Mailing Address - State:AZ
Mailing Address - Zip Code:85202-1150
Mailing Address - Country:US
Mailing Address - Phone:602-429-0346
Mailing Address - Fax:480-610-6755
Practice Address - Street 1:33 S SYCAMORE
Practice Address - Street 2:SUITE 1
Practice Address - City:MESA
Practice Address - State:AZ
Practice Address - Zip Code:85202-1150
Practice Address - Country:US
Practice Address - Phone:602-429-0346
Practice Address - Fax:480-610-6755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-25
Last Update Date:2017-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services
No311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home