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Broadstep-wisconsin, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Watertown, Wisconsin
NPI 1952979627

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 1952979627 and holds a License No. (Wisconsin).

The current practice location address for Broadstep-wisconsin, Inc. is 1320/1322 Wakoka Street, Watertown, WI and can be reached out via phone at 920-261-9917 and via fax at 920-261-9918.

Location: 1320/1322 Wakoka Street, Watertown, WI, 53214-3167
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1952979627
Provider Name
Broadstep-wisconsin, Inc.
Credential
Provider Entity Type
Organization
Address
1320/1322 Wakoka Street, Watertown, WI, 53214-3167
Phone Number
920-261-9917
Fax Number
920-261-9918
Provider Enumeration Date
06/17/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
1320/1322 Wakoka Street
City
Watertown
State
Wisconsin
Zip
53094
Phone Number
920-261-9917
Fax Number
920-261-9918
person
Provider Business Mailing Address Details
Address
1320/1322 Wakoka Street
City
Watertown
State
Wisconsin
Zip
53094
Phone Number
920-261-9917
Fax Number
920-261-9918
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.
()
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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