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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 Specialty Code Provider Type

Residential Treatment Facility, Intellectual and/or Developmental Disabilities

320600000X
Indicates primary specialty

NPI Profile & details for OCONOMOWOC DEVELOPMENT TRAINING CENTER LL

NPI # 1669705240
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
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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