Wood Lane Residential Services
NPI #1316568603 in Portage, Ohio
Provider Information
- NPI Number
- 1316568603
- Entity Type
- Organization
- Organization Name
- Wood Lane Residential Services
- Primary Specialty
- Intermediate Care Facility, Intellectual Disabilities
- Enumeration Date
- Apr 28, 2020
- Last Updated
- Apr 28, 2020
Practice Location
Authorized Official
- Name
- JESSICA BLAKELY
- Title
- CEO
- Phone
- (419) 353-9577
Specialties & Taxonomy Codes
| Specialty |
|---|
| Intermediate Care Facility, Intellectual Disabilities |
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