Provider Demographics
NPI:1346380680
Name:LAKE OF THE WOODS COUNTY SOCIAL SERVICES
Entity type:Organization
Organization Name:LAKE OF THE WOODS COUNTY SOCIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:WENDLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:218-634-2642
Mailing Address - Street 1:206 8TH AVE. SE
Mailing Address - Street 2:SUITE 200
Mailing Address - City:BAUDETTE
Mailing Address - State:MN
Mailing Address - Zip Code:56623
Mailing Address - Country:US
Mailing Address - Phone:218-634-2642
Mailing Address - Fax:218-634-4520
Practice Address - Street 1:206 8TH AVE. SE
Practice Address - Street 2:SUITE 200
Practice Address - City:BAUDETTE
Practice Address - State:MN
Practice Address - Zip Code:56623
Practice Address - Country:US
Practice Address - Phone:218-634-2642
Practice Address - Fax:218-634-4520
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-07
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare