Organization · Type 2 NPI

Broadstep-Wisconsin, Inc.

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

NPI number 1407049455 Active

Practice location

6105 W Keefe Avenue Pkwy
Milwaukee, WI 53216-2771

Call (414) 447-7566 Map

Fax (414) 447-7528

Specialties and licenses

TaxonomyCodeLicense
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 1407049455

Broadstep-Wisconsin, Inc.'s National Provider Identifier is 1407049455, issued on Aug 23, 2007. 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 Apr 28, 2021.