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Organization
NORTHERN LIGHTS SERVICES, INC.
Active
Organization
NORTHERN LIGHTS SERVICES, INC.
Active
Other names
NORTHERN LIGHTS HOME HEALTH AND COMMUNITY SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMARA JEAN DERAGON (BUSINESS OFFICE MANAGER)
(715) 373-5621
Entity
Organization
Contact information
Practice address
706 BRATLEY DR, WASHBURN, WI 54891-1143
(715) 373-5621
(715) 373-5244
Mailing address
706 BRATLEY DR, WASHBURN, WI 54891-1143
(715) 373-5621
(715) 373-5244
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
NULL
Other
Enumeration date
03/29/2007
Last updated
08/22/2020
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