Organization · Type 2 NPI
Wood Lane Residential Services, Inc.
Intellectual Disabilities Intermediate Care Facility · Portage, OH
NPI number
1275154569
Active
Practice location
353 W Main St
Portage, OH 43451-9802
Mailing address
545 Pearl St
Bowling Green, OH 43402-2784
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual Disabilities Intermediate Care Facility Primary | 315P00000X | None listed |
Intellectual Disabilities Intermediate Care Facility: An intermediate care facility providing services for individuals with intellectual disabilities.
Other intellectual disabilities intermediate care facility providers in Portage
About NPI 1275154569
Wood Lane Residential Services, Inc.'s National Provider Identifier is 1275154569, issued on Apr 28, 2020. The primary taxonomy on file is Intellectual Disabilities Intermediate Care Facility (315P00000X), and the practice location is in Portage, OH. The record was last updated on Apr 28, 2020.