Organization · Type 2 NPI
Broadstep-Wisconsin, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Port Washington, WI
Practice location
226 N Spring St
Port Washington, WI 53074-1746
Mailing address
5555 N 51st St
Milwaukee, WI 53218-3308
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility | 310400000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Port Washington
About NPI 1073196978
Broadstep-Wisconsin, Inc.'s National Provider Identifier is 1073196978, issued on Apr 29, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Port Washington, WI. The record was last updated on Apr 29, 2021.