Organization · Type 2 NPI

Oconomowoc Development Training Center LL

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Dousman, WI

NPI number 1386977965 Active

Practice location

307 Wilson Ave.
Dousman, WI 53118

Fax (262) 569-9962

Mailing address

PO Box 278
Dousman, WI 53118

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone 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 1386977965

Oconomowoc Development Training Center LL's National Provider Identifier is 1386977965, issued on Sep 14, 2009. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Dousman, WI. The record was last updated on Sep 14, 2009.