Organization
NORTHWOODS INC OF WISCONSIN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JEFFREY H AERTS (PRESIDENT AND CEO)
(608) 742-7114
Entity
Organization
Contact information
Practice address
N6510 US HIGHWAY 51, PORTAGE, WI 53901-9603
(608) 742-7114
(608) 742-0636
Mailing address
N6510 US HIGHWAY 51, PO BOX 357, PORTAGE, WI 53901-9603
(608) 742-7114
(608) 742-0636
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251V00000X
Voluntary or Charitable Agency
—
—
Other
Enumeration date
08/22/2008
Last updated
08/22/2008
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