| Broadstep-wisconsin, Inc. | |
|
6414 W Fond Du Lac Ave Milwaukee WI 53218-4917 | |
| (414) 463-8777 | |
| (414) 463-1668 |
| Full Name | Broadstep-wisconsin, Inc. |
|---|---|
| Speciality | Day Training, Developmentally Disabled Services |
| Location | 6414 W Fond Du Lac Ave, Milwaukee, Wisconsin |
| Authorized Official Name and Position | Julianne Yopps (EXECUTIVE ASSISTANT) |
| Authorized Official Contact | 4149304421 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Broadstep-wisconsin, Inc. 6414 W Fond Du Lac Ave Milwaukee WI 53218-4917 Ph: (414) 463-8777 | Broadstep-wisconsin, Inc. 6414 W Fond Du Lac Ave Milwaukee WI 53218-4917 Ph: (414) 463-8777 |
| NPI Number | 1659561413 |
|---|---|
| Provider Enumeration Date | 07/27/2007 |
| Last Update Date | 04/28/2021 |
| Certification Date | 04/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659561413 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| 251C00000X | Day Training, Developmentally Disabled Services | (* (Not Available)) | Primary |
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