Organization · Type 2 NPI

Broadstep-Wisconsin, Inc.

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Milwaukee, WI

NPI number 1104019868 Active

Practice location

10133 - 35 West Kiehnau Avenue
Milwaukee, WI 53224

Call (414) 353-5567 Map

Fax (414) 353-4236

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone 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.

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About NPI 1104019868

Broadstep-Wisconsin, Inc.'s National Provider Identifier is 1104019868, issued on Aug 24, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Milwaukee, WI. The record was last updated on Apr 28, 2021.