Organization · Type 2 NPI

Oconomowoc Development Training Center LL

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

NPI number 1669705240 Active

Practice location

3222 N. Silver Cedar Rd.
Oconomowoc, WI 53066

Call (262) 569-5515 Map

Fax (262) 569-9962

Mailing address

PO Box 278
Dousman, WI 53118

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	None 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.

Other intellectual and/or developmental disabilities residential treatment facility providers in Oconomowoc

Oconomowoc Developmental Training Center of Wisconsin LLCIntellectual and/or Developmental Disabilities Residential Treatment Facility Oconomowoc, WI NPI 1720117583

See all in Oconomowoc →

NPI record

NPI: 1669705240
Entity type: Organization (Type 2)
Issued: Sep 14, 2009
Last updated: Sep 14, 2009
Status: Active
Subpart: Yes of Oconomowoc Development Training Center LLC

Other names

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Cheryl House Group Home · other name

Authorized official

Ms. M. Deborah Frisk, MSW
Vice President
(262) 569-5515

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1669705240

Oconomowoc Development Training Center LL's National Provider Identifier is 1669705240, 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 Oconomowoc, WI. The record was last updated on Sep 14, 2009.