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Organization

NORTHWOODS LIVING, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. LINDA A SMITH B.S. (EXECUTIVE DIRECTOR)
(515) 573-8243
Entity
Organization

Contact information

Practice address
1470 21ST AVE N, FORT DODGE, IA 50501-7114
(515) 573-8243
(515) 576-4269
Mailing address
1470 21ST AVE. N., FORT DODGE, IA 50501-7114
(515) 573-8243
(515) 576-4269

Taxonomy

Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
940565
IA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0147918
IA
05
0226126
IA
05
0880526
IA
Enumeration date
06/09/2005
Last updated
08/22/2020
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