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Broadstep-wisconsin, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Port Washington, Wisconsin
NPI 1073196978

Broadstep-wisconsin, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Milwaukee, WI. Broadstep-wisconsin, Inc. practices in Port Washington, WI. The NPI Number for Broadstep-wisconsin, Inc. is 1073196978 and holds a License No. (Wisconsin).

The current practice location address for Broadstep-wisconsin, Inc. is 226 N Spring St, Port Washington, WI and can be reached out via phone at 262-268-0301.

Location: 226 N Spring St, Port Washington, WI, 53218-3308
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1073196978
Provider Name
Broadstep-wisconsin, Inc.
Credential
Provider Entity Type
Organization
Address
226 N Spring St, Port Washington, WI, 53218-3308
Phone Number
262-268-0301
Fax Number
Provider Enumeration Date
04/29/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
226 N Spring St
City
Port Washington
State
Wisconsin
Zip
53074-1746
Phone Number
262-268-0301
Fax Number
person
Provider Business Mailing Address Details
Address
226 N Spring St
City
Port Washington
State
Wisconsin
Zip
53074-1746
Phone Number
262-268-0301
Fax Number
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
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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