institution
Broadstep-wisconsin, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Milwaukee, Wisconsin
NPI 1104019868

Broadstep-wisconsin, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Milwaukee, WI. Broadstep-wisconsin, Inc. practices in Milwaukee, WI. The NPI Number for Broadstep-wisconsin, Inc. is 1104019868 and holds a License No. (Wisconsin).

The current practice location address for Broadstep-wisconsin, Inc. is 10133 - 35 West Kiehnau Avenue, Milwaukee, WI and can be reached out via phone at 414-353-5567 and via fax at 414-353-4236.

Location: 10133 - 35 West Kiehnau Avenue, Milwaukee, WI, 53224
institution
Provider Profile Details
NPI Number
1104019868
Provider Name
Broadstep-wisconsin, Inc.
Credential
Provider Entity Type
Organization
Address
10133 - 35 West Kiehnau Avenue, Milwaukee, WI, 53224
Phone Number
414-353-5567
Fax Number
414-353-4236
Provider Enumeration Date
08/24/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
10133 - 35 West Kiehnau Avenue
City
State
Zip
53224
Phone Number
414-353-5567
Fax Number
414-353-4236
person
Provider Business Mailing Address Details
Address
10133 - 35 West Kiehnau Avenue
City
State
Zip
53224
Phone Number
414-353-5567
Fax Number
414-353-4236
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
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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