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Iris Manor
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Wauwatosa, Wisconsin
NPI 1790140382

Iris Manor is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Wauwatosa, WI. Iris Manor practices in Wauwatosa, WI. The NPI Number for Iris Manor is 1790140382 and holds a License No. (Wisconsin).

The current practice location address for Iris Manor is 2339 N 60Th St, Wauwatosa, WI and can be reached out via phone at 414-778-1222 and via fax at 414-778-1002.

Location: 2339 N 60Th St, Wauwatosa, WI, 53210-2220
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1790140382
Provider Name
Iris Manor
Credential
Provider Entity Type
Organization
Address
2339 N 60Th St, Wauwatosa, WI, 53210-2220
Phone Number
414-778-1222
Fax Number
414-778-1002
Provider Enumeration Date
12/23/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2339 N 60Th St
City
Wauwatosa
State
Wisconsin
Zip
53210-2220
Phone Number
414-778-1222
Fax Number
414-778-1002
person
Provider Business Mailing Address Details
Address
2339 N 60Th St
City
Wauwatosa
State
Wisconsin
Zip
53210-2220
Phone Number
414-778-1222
Fax Number
414-778-1002
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(Wisconsin)
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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