Organization · Type 2 NPI
Homes for Independent Living of Wisconsin LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Oconomowoc, WI
Practice location
1746 Executive Drive
Oconomowoc, WI 53066
Fax (262) 569-9962
Mailing address
PO Box 278
Dousman, WI 53118
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
Another provider at this address
Other intellectual and/or developmental disabilities community based residential treatment facility providers in Oconomowoc
About NPI 1306975289
Homes for Independent Living of Wisconsin LLC's National Provider Identifier is 1306975289, issued on Mar 5, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Oconomowoc, WI. The record was last updated on Aug 22, 2020.