institution
Oconomowoc Developmental Training Center Of Wisconsin Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Oconomowoc, Wisconsin
NPI 1720117583

Oconomowoc Developmental Training Center Of Wisconsin Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Dousman, WI. Oconomowoc Developmental Training Center Of Wisconsin Llc practices in Oconomowoc, WI. The NPI Number for Oconomowoc Developmental Training Center Of Wisconsin Llc is 1720117583 and holds a License No. (Wisconsin).

The current practice location address for Oconomowoc Developmental Training Center Of Wisconsin Llc is 36100 Genesee Lake Rd, Oconomowoc, WI and can be reached out via phone at 262-569-5515 and via fax at 262-569-9962. You can also correspond with Oconomowoc Developmental Training Center Of Wisconsin Llc through the mailing address at PO BOX 278, DOUSMAN, WI - 53118 (mailing address contact number: 262-569-5515).

Location: 36100 Genesee Lake Rd, Oconomowoc, WI, 53118
institution
Provider Profile Details
NPI Number
1720117583
Provider Name
Oconomowoc Developmental Training Center Of Wisconsin Llc
Credential
Provider Entity Type
Organization
Address
36100 Genesee Lake Rd, Oconomowoc, WI, 53118
Phone Number
262-569-5515
Fax Number
262-569-9962
Provider Enumeration Date
03/05/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
36100 Genesee Lake Rd
City
State
Zip
53066
Phone Number
262-569-5515
Fax Number
262-569-9962
person
Provider Business Mailing Address Details
Address
36100 Genesee Lake Rd
City
State
Zip
53066
Phone Number
262-569-5515
Fax Number
262-569-9962
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
(Wisconsin)
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.
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