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Wood Lane Residential Services
Intellectual Disabilities Intermediate Care Facility in Portage, Ohio
NPI 1144841438

Wood Lane Residential Services is a Intellectual Disabilities Intermediate Care Facility based in Bowling Green, OH. Wood Lane Residential Services practices in Portage, OH. The NPI Number for Wood Lane Residential Services is 1144841438 and holds a License No. (Ohio).

The current practice location address for Wood Lane Residential Services is 355 W Main St., Portage, OH and can be reached out via phone at 419-686-6071.

Location: 355 W Main St., Portage, OH, 43402-2784
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1144841438
Provider Name
Wood Lane Residential Services
Credential
Provider Entity Type
Organization
Address
355 W Main St., Portage, OH, 43402-2784
Phone Number
419-686-6071
Fax Number
Provider Enumeration Date
04/28/2020
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
355 W Main St.
City
Portage
State
Ohio
Zip
43451-9802
Phone Number
419-686-6071
Fax Number
person
Provider Business Mailing Address Details
Address
355 W Main St.
City
Portage
State
Ohio
Zip
43451-9802
Phone Number
419-686-6071
Fax Number
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Intermediate Care Facility, Mentally Retarded
Speciality
-
Taxonomy
315P00000X
License No.
()
Definition
(1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals.
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