Organization · Type 2 NPI
Iris Manor
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Wauwatosa, WI
Practice location
2339 N 60th St
Wauwatosa, WI 53210-2220
Fax (414) 778-1002
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| 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.
About NPI 1790140382
Iris Manor's National Provider Identifier is 1790140382, issued on Dec 23, 2015. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Wauwatosa, WI. The record was last updated on Dec 23, 2015.