Prader Willi Homes Of Oconomowoc Llc in Dousman - Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities
Prader Willi Homes Of Oconomowoc Llc - NPI 1396891875
Prader Willi Homes Of Oconomowoc Llc is a Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities in Dousman, Wisconsin. Prader Willi Homes Of Oconomowoc Llc practices all healthcare services and medical treatments related to Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities. The NPI Number for Prader Willi Homes Of Oconomowoc Llc is 1396891875. The last update date is 2020-08-22.
Prader Willi Homes Of Oconomowoc 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 Prader Willi Homes Of Oconomowoc Llc is Po Box 278, Dousman, Wisconsin. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Prader Willi Homes Of Oconomowoc 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 | 1396891875 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| 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 | Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities |
|---|---|
| Taxonomy | 320900000X |
|
Definition: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Prader Willi Homes Of Oconomowoc Llc by the Centers for Medicare & Medicaid Services?
The Prader Willi Homes Of Oconomowoc Llc has been assigned the NPI (National Provider Identifier) 1396891875. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Prader Willi Homes Of Oconomowoc Llc is geographically located?
The Prader Willi Homes Of Oconomowoc Llc is physically situated at the following location: Po Box 278, Dousman, WI, 53118.
What is Prader Willi Homes Of Oconomowoc Llc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Prader Willi Homes Of Oconomowoc Llc's area of specialization is Community Based Residential Treatment Facility, Intellectual And/or Developmental Disabilities, and the corresponding taxonomy code that categorizes this field of practice is 320900000X.
When did Prader Willi Homes Of Oconomowoc Llc receive its 1396891875 assignment?
The Prader Willi Homes Of Oconomowoc Llc was assigned its 1396891875 on 2007-01-26, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Prader Willi Homes Of Oconomowoc Llc most recently updated or revised?
The information pertaining to Prader Willi Homes Of Oconomowoc Llc, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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