National Provider Identifier Database

BROADSTEP WISCONSIN INC
Residential Treatment Facility, Intellectual and/or Developmental Disabilities

A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.


Contact Information

BROADSTEP-WISCONSIN, INC.
557 MILFORD ST
WATERTOWN, WI53094-6033
Phone: 920-390-4116
Fax: 920-390-4117
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X
Assisted Living, Behavioral Disturbances 3104A0630X

* Indicates primary specialty

NPI Profile & details for BROADSTEP-WISCONSIN, INC.

NPI Number 1316513351
Legal business name
LBN
BROADSTEP-WISCONSIN, INC.
Authorized official JULIANNE YOPPS - (EXECUTIVE ASSISTANT)
Entity Organization
Organization subpart No
Enumeration date 06/01/2021
Last updated 08/10/2021 - About 5 years ago
Sole proprietor1 Not specified
Identifiers n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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