Organization · Type 2 NPI

Broadstep-Wisconsin, Inc.

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

NPI number 1346815636 Active

Practice location

10730 W Calumet Rd
Milwaukee, WI 53224-3153

Call (414) 355-5921 Map

Mailing address

5555 N 51st St
Milwaukee, WI 53218-3308

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility 310400000XNone listed
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 1346815636

Broadstep-Wisconsin, Inc.'s National Provider Identifier is 1346815636, 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.