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NORTHWOODS INC OF WISCONSIN

Agencies Case Management

Provider NPI: 1245487065

Organization Information:
Organization Name:  NORTHWOODS INC OF WISCONSIN
Organization is not Subpart
Authorized Official:  JEFFREY H AERTS  PRESIDENT AND CEO  608-742-7114

Practice Location:
N6510 US HIGHWAY 51  PORTAGE, WI 53901-9603 US
Tel: 608-742-7114  Fax: 608-742-0636

Business Mailing Address:
N6510 US HIGHWAY 51 PO BOX 357 PORTAGE, WI 53901-9603 US
Tel: 608-742-7114  Fax: 608-742-0636

NPI Information:
NPI: 1245487065
Entity Type: Organization

Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N251B00000XAgencies
Case Management
Y251C00000XAgencies
Day Training, Developmentally Disabled Services
N251V00000XAgencies
Voluntary or Charitable

Other Provider Identifiers:

IssuerNumberStateType



American Medical Association 2012 taxonomy code information

Code: 251C00000X

Type:

Classification:



Definition:



MEDICAL JOBS WI - Page 1

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