NPI 1649891029
Wood Lane Residential Services
Practice location
- Address
- 300 Elm St, Walbridge, OH 43465-1140
- Phone
- (419) 666-2344
- Mailing address
- 545 Pearl St, Bowling Green, OH 43402-2784
Authorised official
- Name
- Jessica Blakely
- Title
- Ceo
- Phone
- (419) 353-9577
Registered specialties
Intellectual Disabilities Intermediate Care Facility
Primary
Registry record
- NPI
- 1649891029
- Entity type
- Organization
- NPI issued
- 27 Apr 2020
- Record last updated
- 27 Apr 2020
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.