NPI 1083090559
Cornerstone Community Care LLC
Practice location
- Address
- 2951 N River Rd, Waterford, WI 53185-5082
- Phone
- (262) 744-1473
- Fax
- (262) 514-3485
- Mailing address
- 2953 N River Rd, Waterford, WI 53185-5082
Authorised official
- Name
- Shawna Rohda
- Title
- Owner
- Phone
- (262) 744-1473
Registered specialties (15)
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
Home Health Agency
Community/Behavioral Health Agency
In Home Supportive Care Agency
Adult Day Care Clinic/Center
Developmental Disabilities Clinic/Center
Adult Mental Health Clinic/Center
Assisted Living Facility (Mental Illness)
Assisted Living Facility (Behavioral Disturbances)
Mental Illness Intermediate Care Facility
Adult Care Home Facility
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Physical Disabilities Residential Treatment Facility
Mental Illness Community Based Residential Treatment Facility
Psychiatric Residential Treatment Facility
Registry record
- NPI
- 1083090559
- Entity type
- Organization
- NPI issued
- 6 Aug 2015
- Record last updated
- 27 Sep 2016
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.