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Broadstep-wisconsin, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Watertown, Wisconsin
NPI 1003482027

Broadstep-wisconsin, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Milwaukee, WI. Broadstep-wisconsin, Inc. practices in Watertown, WI. The NPI Number for Broadstep-wisconsin, Inc. is 1003482027 and holds a License No. (Wisconsin).

The current practice location address for Broadstep-wisconsin, Inc. is 503 Clovercrest Ct, Watertown, WI and can be reached out via phone at 920-390-4431 and via fax at 920-390-4432.

Location: 503 Clovercrest Ct, Watertown, WI, 53214-3167
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1003482027
Provider Name
Broadstep-wisconsin, Inc.
Credential
Provider Entity Type
Organization
Address
503 Clovercrest Ct, Watertown, WI, 53214-3167
Phone Number
920-390-4431
Fax Number
920-390-4432
Provider Enumeration Date
06/01/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
503 Clovercrest Ct
City
Watertown
State
Wisconsin
Zip
53094-9701
Phone Number
920-390-4431
Fax Number
920-390-4432
person
Provider Business Mailing Address Details
Address
503 Clovercrest Ct
City
Watertown
State
Wisconsin
Zip
53094-9701
Phone Number
920-390-4431
Fax Number
920-390-4432
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
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Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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