# NORTHERN LIGHTS SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** NORTHERN LIGHTS HOME HEALTH AND COMMUNITY SERVICES
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619096468
- **Authorized official:** MRS. TAMARA JEAN DERAGON (BUSINESS OFFICE MANAGER)
- **Authorized official phone:** (715) 373-5621

## Contact information

- **Practice address:** 706 BRATLEY DR, WASHBURN, WI 54891-1143
- **Practice address phone:** (715) 373-5621
- **Practice address fax:** (715) 373-5244
- **Mailing address:** 706 BRATLEY DR, WASHBURN, WI 54891-1143
- **Mailing address phone:** (715) 373-5621
- **Mailing address fax:** (715) 373-5244

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 03/29/2007
- **Last updated:** 08/22/2020