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Wood Lane Residential Services, Inc.
Child Intellectual and/or Developmental Disabilities Respite Care in Portage, Ohio
NPI 1215029525

Wood Lane Residential Services, Inc. is a Child Intellectual and/or Developmental Disabilities Respite Care based in Bowling Green, OH and is specialized in Respite Care, Intellectual and/or Developmental Disabilities, Child. Wood Lane Residential Services, Inc. practices in Portage, OH. The NPI Number for Wood Lane Residential Services, Inc. is 1215029525 and holds a License No. (Ohio).

The current practice location address for Wood Lane Residential Services, Inc. is 349 W Main St., Portage, OH and can be reached out via phone at 419-353-9577.

Location: 349 W Main St., Portage, OH, 43402-2731
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1215029525
Provider Name
Wood Lane Residential Services, Inc.
Credential
Provider Entity Type
Organization
Address
349 W Main St., Portage, OH, 43402-2731
Phone Number
419-353-9577
Fax Number
Provider Enumeration Date
09/28/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
36G261 05 OH
36G260 05 OH
36G381 05 OH
2585751 05 OH
36G344 05 OH
36G475 05 OH
36G087 05 OH
36G345 05 OH
36G474 05 OH
institution
Provider Business Practice Location Address Details
Address
349 W Main St.
City
Portage
State
Ohio
Zip
43451
Phone Number
419-353-9577
Fax Number
person
Provider Business Mailing Address Details
Address
349 W Main St.
City
Portage
State
Ohio
Zip
43451
Phone Number
419-353-9577
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
(Ohio)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 2
Type
Respite Care Facility
Classification
Respite Care
Speciality
Respite Care, Intellectual and/or Developmental Disabilities, Child
Taxonomy
385HR2060X
License No.
(Ohio)
Definition
A facility or distinct part of a facility that provides short term, residential care to children diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers.
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