Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Wood Lane Residential Services, Inc

Organization Intellectual and/or Developmental Disabilities Residential Treatment Facility · NPI 1215029525

Wood Lane Residential Services, Inc is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Portage, Ohio. Works from 3 locations. Licensed in Ohio.

Licensed in
OH
In the registry since
2006
Specialties on file
2
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

349 W Main St
Portage, OH 43451
Phone: (419) 353-9577
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 1005 Klotz Rd, Bowling Green, OH 43402-4820 — (419) 353-9577
  • 1009 Klotz Rd, Bowling Green, OH 43402-4820 — (419) 353-9577

Specialties & licences

Child Intellectual and/or Developmental Disabilities Respite Care (primary) Taxonomy 385HR2060X (OH)
Intellectual and/or Developmental Disabilities Residential Treatment Facility Taxonomy 320600000X (OH)

Record details

NPI number1215029525
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Jessica Blakely — Chief Executive Officer · (419) 353-9577
NPI enumeratedSeptember 28, 2006
Last updated in NPPESJuly 21, 2022
Mailing address545 Pearl St, Bowling Green, OH 43402-2731