Provider Demographics
NPI:1083310874
Name:FORWARD HORIZONS, INC
Entity type:Organization
Organization Name:FORWARD HORIZONS, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:
Authorized Official - Last Name:WILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:715-685-1224
Mailing Address - Street 1:PO BOX 466
Mailing Address - Street 2:
Mailing Address - City:ASHLAND
Mailing Address - State:WI
Mailing Address - Zip Code:54806-0466
Mailing Address - Country:US
Mailing Address - Phone:715-685-1222
Mailing Address - Fax:715-685-1223
Practice Address - Street 1:422 3RD ST W STE 114
Practice Address - Street 2:
Practice Address - City:ASHLAND
Practice Address - State:WI
Practice Address - Zip Code:54806-1573
Practice Address - Country:US
Practice Address - Phone:715-685-1222
Practice Address - Fax:715-685-1223
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-02-02
Last Update Date:2023-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services