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Broadstep-wisconsin, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Watertown, Wisconsin
NPI 1073189007

Broadstep-wisconsin, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in West Allis, WI. Broadstep-wisconsin, Inc. practices in Watertown, WI. The NPI Number for Broadstep-wisconsin, Inc. is 1073189007 and holds a License No. (Wisconsin).

The current practice location address for Broadstep-wisconsin, Inc. is 1408 Fairfield Ct, Watertown, WI and can be reached out via phone at 920-206-1192 and via fax at 920-206-1409.

Location: 1408 Fairfield Ct, Watertown, WI, 53214-3167
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073189007
Provider Name
Broadstep-wisconsin, Inc.
Credential
Provider Entity Type
Organization
Address
1408 Fairfield Ct, Watertown, WI, 53214-3167
Phone Number
920-206-1192
Fax Number
920-206-1409
Provider Enumeration Date
06/01/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
1408 Fairfield Ct
City
Watertown
State
Wisconsin
Zip
53098-3418
Phone Number
920-206-1192
Fax Number
920-206-1409
person
Provider Business Mailing Address Details
Address
1408 Fairfield Ct
City
Watertown
State
Wisconsin
Zip
53098-3418
Phone Number
920-206-1192
Fax Number
920-206-1409
person
Provider's Taxonomy Details 1
Type
Nursing & Custodial Care Facilities
Classification
Assisted Living Facility
Speciality
-
Taxonomy
310400000X
License No.
()
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
()
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
person
Provider's Taxonomy Details 3
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
()
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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