Wood Lane Residential Services

NPI #1649891029 in Walbridge, Ohio

Provider Information

NPI Number
1649891029
Entity Type
Organization
Organization Name
Wood Lane Residential Services
Primary Specialty
Intermediate Care Facility, Intellectual Disabilities
Enumeration Date
Apr 27, 2020
Last Updated
Apr 27, 2020

Practice Location

Address
300 ELM ST
State
Ohio
ZIP Code
43465-1140
Phone
(419) 666-2344

Authorized Official

Name
JESSICA BLAKELY
Title
CEO
Phone
(419) 353-9577

Specialties & Taxonomy Codes

Specialty
Intermediate Care Facility, Intellectual Disabilities

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