NPI 1073196978

Broadstep-Wisconsin, INC.

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Port Washington, WI

Practice location

Address: 226 N Spring St, Port Washington, WI 53074-1746
Phone: (262) 268-0301
Mailing address: 5555 N 51st St, Milwaukee, WI 53218-3308

Authorised official

Name: Julianne Yopps
Title: Executive Assistant
Phone: (414) 930-4421

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1073196978
Entity type: Organization
NPI issued: 29 Apr 2021
Record last updated: 29 Apr 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.