Broadstep-Wisconsin, Inc.
NPI #1073196978 in Port Washington, Wisconsin
Provider Information
- NPI Number
- 1073196978
- Entity Type
- Organization
- Organization Name
- Broadstep-Wisconsin, Inc.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Apr 29, 2021
- Last Updated
- Apr 29, 2021
Practice Location
- Address
- 226 N SPRING ST
- City
- Port Washington
- State
- Wisconsin
- ZIP Code
- 53074-1746
- Phone
- (262) 268-0301
Authorized Official
- Name
- JULIANNE YOPPS
- Title
- EXECUTIVE ASSISTANT
- Phone
- (414) 930-4421
Specialties & Taxonomy Codes
| Specialty |
|---|
| Assisted Living Facility |
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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