Organization · Type 2 NPI
Broadstep-Wisconsin, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Milwaukee, WI
Practice location
7060 N 124th St
Milwaukee, WI 53224-4206
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.
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About NPI 1326613613
Broadstep-Wisconsin, Inc.'s National Provider Identifier is 1326613613, issued on May 20, 2021. 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 May 20, 2021.