Oconomowoc Devemopmental Training Center Ll
Oconomowoc Devemopmental Training Center Ll is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Dousman, Wisconsin. Licensed in Wisconsin. Registered with an NPI since 2009.
- Licensed in
- WI
- In the registry since
- 2009
Practice location Address checks out
201-203 Cory AveDousman, WI 53118
Phone: (262) 569-5515
Fax: (262) 569-9962
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X (WI) |
|---|
Record details
| NPI number | 1013240696 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | Yes |
| Parent organization | Oconomowoc Devemopmental Training Center LLC |
| Authorized official | M. Frisk — Vice President · (262) 569-5515 |
| Other names | Cory House Group Home |
| NPI enumerated | September 14, 2009 |
| Last updated in NPPES | September 14, 2009 |
| Mailing address | Po Box 278, Dousman, WI 53118 |
Other providers in Dousman
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Oconomowoc Development Training Center Ll
307 Wilson Ave, Dousman, WI 53118 · (262) 569-5515