Northwoods INC of Wisconsin

NPI #1245487065 in Portage, Wisconsin

Provider Information

NPI Number: 1245487065
Entity Type: Organization
Organization Name: Northwoods INC of Wisconsin
Primary Specialty: Day Training, Developmentally Disabled Services
Enumeration Date: Aug 22, 2008
Last Updated: Aug 22, 2008

Practice Location

Address: N6510 US HIGHWAY 51
City: Portage
State: Wisconsin
ZIP Code: 53901-9603
Phone: (608) 742-7114

Authorized Official

Name: MR. JEFFREY H AERTS
Title: PRESIDENT AND CEO
Phone: (608) 742-7114

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Case Management	251B00000X
Voluntary or Charitable	251V00000X
Day Training, Developmentally Disabled Services	251C00000X	Primary

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