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.
Specialty |
Taxonomy Code | Specialty Code | Provider Type | |
Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
320600000X |
| NPI Number | 1386977965 |
| LBN Legal business name | OCONOMOWOC DEVELOPMENT TRAINING CENTER LL |
| Authorized official | M. FRISK - (VICE PRESIDENT) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | 09/14/2009 |
| Last updated | 09/14/2009 - About 17 years ago |
| Identifiers | n/a |
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| OCONOMOWOC DEVEMOPMENTAL TRAINING CENTER LL 201-203 CORY AVE. DOUSMAN, WI |
| OCONOMOWOC DEVELOPMENT TRAINING CENTER LL 3222 N. SILVER CEDAR RD. OCONOMOWOC, WI |
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