DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
NPI Code Detail

MEDICARE: NORTHERN LIGHTS SERVICES, INC.

MEDICARE: NORTHERN LIGHTS SERVICES, INC.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility2624WI

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1336198191
Entity Type Code : Organization
Provider Name (Legal Business Name) : NORTHERN LIGHTS SERVICES, INC.
Provider Business Mailing Address
First Line : 706 BRATLEY DR
Second Line :
City : WASHBURN
State : WI
Zip : 54891-1143
Country : US
Telephone Number : 715-373-5621
Fax Number : 715-373-5244
Provider Business Practice Location Address
First Line : 706 BRATLEY DR
Second Line :
City : WASHBURN
State : WI
Zip : 54891-1143
Country : US
Telephone Number : 715-373-5621
Fax Number : 715-373-5244
Authorized Official
Title or Position : CEO/NHA
Name : PAULINE DARLING
Credential :
Telephone Number : 715-373-6424
Provider Enumeration Date : 05/09/2006
Last Update Date : 12/24/2019

Similar Medicare Providers

1457429029 — BRENDA LOUISE MARTIN PTA
Practice Location Address:
706 BRATLEY DR
WASHBURN, WI
54891-1143
Practice Phone: 715-373-5621
Practice Fax:
1790843431 — ELIZABETH ANN MADISON P.T.
Practice Location Address:
706 BRATLEY DR
WASHBURN, WI
54891-1143
Practice Phone: 715-373-5621
Practice Fax: 715-373-5244
1417016700 — KIM VINCENT MURPHY COTA
Practice Location Address:
706 BRATLEY DR
WASHBURN, WI
54891-1143
Practice Phone: 715-373-5621
Practice Fax: 715-373-5244
1922168384 — MS. KIM KAY ARMINGTON PTA
Practice Location Address:
706 BRATLEY DR
WASHBURN, WI
54891-1143
Practice Phone: 715-373-5621
Practice Fax: 715-373-5244
1003976234 — MRS. CHRISTEN ANN RICE COTA
Practice Location Address:
706 BRATLEY DR
WASHBURN, WI
54891-1143
Practice Phone: 715-373-6425
Practice Fax: 715-373-5655
1538221460 — MS. ANN MARIE GLAVAN RPT
Practice Location Address:
706 BRATLEY DR
WASHBURN, WI
54891-1143
Practice Phone: 715-373-5621
Practice Fax: 715-373-5244

Directions to “NORTHERN LIGHTS SERVICES, INC. ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.