Organization · Type 2 NPI
Broadstep-Wisconsin, Inc.
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Watertown, WI
Practice location
101 Eichstaedt Ln
Watertown, WI 53094-6201
Fax (920) 390-4551
Mailing address
1205 S 70th St Ste 202
West Allis, WI 53214-3167
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Assisted Living Facility | 310400000X | None listed |
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: 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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About NPI 1104494921
Broadstep-Wisconsin, Inc.'s National Provider Identifier is 1104494921, issued on Jun 17, 2021. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Watertown, WI. The record was last updated on Jun 17, 2021.