National Provider Identifier Database

OCONOMOWOC DEVELOPMENT TRAINING CENTER LL
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

OCONOMOWOC DEVELOPMENT TRAINING CENTER LL
3222 N. SILVER CEDAR RD.
OCONOMOWOC, WI53066
Phone: 262-569-5515
Fax: 262-569-9962
Website:
Specialty Taxonomy Code
* Residential Treatment Facility, Intellectual and/or Developmental Disabilities 320600000X

* Indicates primary specialty

NPI Profile & details for OCONOMOWOC DEVELOPMENT TRAINING CENTER LL

NPI Number 1669705240
Legal business name
LBN
OCONOMOWOC DEVELOPMENT TRAINING CENTER LL
Authorized official M. FRISK - (VICE PRESIDENT)
Entity Organization
Organization subpart Yes
Enumeration date 09/14/2009
Last updated 09/14/2009 - About 17 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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