Oconomowoc Developmental Training Center Of Wisconsin Llc in Dousman - Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Oconomowoc Developmental Training Center Of Wisconsin Llc - NPI 1720117583
Oconomowoc Developmental Training Center Of Wisconsin Llc is a Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Dousman, Wisconsin. Oconomowoc Developmental Training Center Of Wisconsin Llc practices all healthcare services and medical treatments related to Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Oconomowoc Developmental Training Center Of Wisconsin Llc is 1720117583. The last update date is 2020-08-22.
Oconomowoc Developmental Training Center Of Wisconsin Llc's current location address is Po Box 278, Dousman, Wisconsin. You can contact this provider via phone number 2625695515 and fax number 2625699962. The mailing address for Oconomowoc Developmental Training Center Of Wisconsin Llc is Po Box 278, Dousman, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Oconomowoc Developmental Training Center Of Wisconsin Llc |
|---|---|
| Address | Po Box 278, Dousman, Wisconsin |
| Phone Number | 2625695515 |
| Fax Number | 2625699962 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | VICE PRESI |
|---|---|
| Authorized Official Name | Frisk Deborah M |
| Credentials | MSW |
| Telephone Number | 2625695515 |
NPI Number Detail
| NPI Number | 1720117583 |
|---|---|
| Provider Enumeration Date | 2007-03-05 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 278 |
|---|---|
| City | Dousman |
| State | Wisconsin (WI) |
| Post Code | 53118 |
| Phone Number | 2625695515 |
| Fax Number | 2625699962 |
Provider's Primary Taxonomy Detail
| Speciality | Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320600000X |
|
Definition: 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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What is the Oconomowoc Developmental Training Center Of Wisconsin Llc's 1720117583?
The Oconomowoc Developmental Training Center Of Wisconsin Llc's NPI (National Provider Identifier) Number is 1720117583. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Oconomowoc Developmental Training Center Of Wisconsin Llc is geographically located?
The Oconomowoc Developmental Training Center Of Wisconsin Llc is physically situated at the following location: Po Box 278, Dousman, WI, 53118.
What is Oconomowoc Developmental Training Center Of Wisconsin Llc's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Oconomowoc Developmental Training Center Of Wisconsin Llc is Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy classification code for this specialized field is 320600000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720117583 to Oconomowoc Developmental Training Center Of Wisconsin Llc?
The Oconomowoc Developmental Training Center Of Wisconsin Llc received its 1720117583 assignment from the Centers for Medicare & Medicaid Services on 2007-03-05.
As of what date were the details related to Oconomowoc Developmental Training Center Of Wisconsin Llc most recently updated or revised?
The information pertaining to Oconomowoc Developmental Training Center Of Wisconsin Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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