Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
OCONOMOWOC DEVELOPMENTAL TRAINING CENTER OF WISCONSIN LLC
Active OrganizationIntellectual Disabilities Residential Treatment Facility · OCONOMOWOC, WI
Registration Details
- NPI Number
- 1720117583
- Provider Type
- Organization
- NPI Issued
- Mar 5, 2007 (19.130630064594 yrs)
- Last Updated
- Aug 22, 2020
Practice Information
- Address
-
36100 GENESEE LAKE RDOCONOMOWOC, WI, 53066Browse WI providers · Browse ZIP 53066
- Phone
- 2625695515
- Fax
- 2625699962
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Other Intellectual Disabilities Residential Treatment Facility Organizations in OCONOMOWOC, WI
| Name | NPI |
|---|---|
| OCONOMOWOC DEVELOPMENT TRAINING CENTER LL | 1669705240 |
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.