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Broadstep-wisconsin, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Watertown, Wisconsin
NPI 1679141451

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 1679141451 and holds a License No. (Wisconsin).

The current practice location address for Broadstep-wisconsin, Inc. is 483 S Concord Ave, Watertown, WI and can be reached out via phone at 920-390-4484 and via fax at 920-390-4485.

Location: 483 S Concord Ave, Watertown, WI, 53214-3167
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679141451
Provider Name
Broadstep-wisconsin, Inc.
Credential
Provider Entity Type
Organization
Address
483 S Concord Ave, Watertown, WI, 53214-3167
Phone Number
920-390-4484
Fax Number
920-390-4485
Provider Enumeration Date
06/16/2021
Last Update Date
03/13/2024
institution
Provider Business Practice Location Address Details
Address
483 S Concord Ave
City
Watertown
State
Wisconsin
Zip
53094-7307
Phone Number
920-390-4484
Fax Number
920-390-4485
person
Provider Business Mailing Address Details
Address
483 S Concord Ave
City
Watertown
State
Wisconsin
Zip
53094-7307
Phone Number
920-390-4484
Fax Number
920-390-4485
person
Provider's Taxonomy Details 1
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 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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