Whalio Doctors

NPI 1316513351

Broadstep-Wisconsin, INC.

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Watertown, WI

Practice location

Address
557 Milford St, Watertown, WI 53094-6033
Phone
(920) 390-4116
Fax
(920) 390-4117
Mailing address
1205 S 70th St STE 202, West Allis, WI 53214-3167

Authorised official

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

Registered specialties (2)

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320600000X
Assisted Living Facility (Behavioral Disturbances)
Nursing & Custodial Care Facilities Taxonomy 3104A0630X

Registry record

NPI
1316513351
Entity type
Organization
NPI issued
1 Jun 2021
Record last updated
10 Aug 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.