NPI 1124273479

Independent Lifestyles, INC.

Organisation Mental Illness Community Based Residential Treatment Facility New Berlin, WI

Practice location

Address: 4405 S Deerwood Dr, New Berlin, WI 53151-9240
Phone: (262) 782-6068
Fax: (262) 827-2642

Authorised official

Name: Dan Alan Hoecherl
Title: Administrator/Nurse
Phone: (414) 241-5010

Registered specialties (2)

Mental Illness Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320800000X

Other Community Based Residential Treatment Facility, Mental Illness providers in Wisconsin →

Physical Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320700000X

Other Residential Treatment Facility, Physical Disabilities providers in Wisconsin →

Registry record

NPI: 1124273479
Entity type: Organization
NPI issued: 28 Nov 2008
Record last updated: 28 Nov 2008

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.